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Song W. Jung. DDS. Inc

NPI 1659846855ActiveOrganization· Dentist, General Practice· Lake Forest, CA

Dentist, General Practice in Lake Forest, California, registered in NPPES in October 2018. The authorized official on file is Song Woo Jung, D.D.S, President.

Overview

NPI1659846855
StatusActive
Entity typeOrganization
NPI issuedOct 4, 2018
Last updated in NPPESOct 4, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general dentists in Lake Forest

All 57 general dentists in Lake Forest · All general dentists in California