Healthcare Provider Details
I. General information
NPI: 1376485573
Provider Name (Legal Business Name): J DENTAL LOUNGE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
406 32ND ST STE 2A
UNION CITY NJ
07087-3978
US
IV. Provider business mailing address
406 32ND ST STE 2A
UNION CITY NJ
07087-3978
US
V. Phone/Fax
- Phone: 201-223-2140
- Fax: 201-223-2141
- Phone: 201-223-2140
- Fax: 201-223-2141
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JURA
JUNG
Title or Position: OWNER/DENTIST
Credential: DDS
Phone: 201-223-2140