Bang, Jeffrey Nanjoong
Bang, Jeffrey Nanjoong is an sole proprietor health care provider with primary practice located at 3388 W Main St Ste 200 , Frisco TX 75033-4553. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bang, Jeffrey Nanjoong can be contacted via phone (972) 624-7812.Contact Information
Primary practice address
3388 W Main St Ste 200
Frisco TX 75033-4553
Phone: (972) 624-7812
Fax: (972) 624-7813
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 23035 | Texas |
Profile Details
| NPI number | 1205053394 |
|---|---|
| LBN Legal business name | Bang, Jeffrey Nanjoong |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jan 15th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205053394 | NPPES |
| Texas | MEDICAID | 1820144-01 | |
| Texas | MEDICAID | 1820144-02 | |
| Texas | MEDICAID | 1820114-04 |
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