Healthcare Provider Details

I. General information

NPI: 1235829466
Provider Name (Legal Business Name): JAMIELYNN JUNG DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2023
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11016 NEW HAMPSHIRE AVE
SILVER SPRING MD
20904-2602
US

IV. Provider business mailing address

445 GERARD AVE APT 1005
BRONX NY
10451-5305
US

V. Phone/Fax

Practice location:
  • Phone: 301-838-4291
  • Fax:
Mailing address:
  • Phone: 615-424-3438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number18216
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: