MEDICARE: SMILE DENTAL STUDIO PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1891634044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMILE DENTAL STUDIO PC

Provider Business Mailing Address
First Line	:	669 BROAD AVE STE 202
Second Line	:
City	:	RIDGEFIELD
State	:	NJ
Zip	:	07657-1631
Country	:	US
Telephone Number	:	201-941-8087
Fax Number	:	551-313-8660

Provider Business Practice Location Address
First Line	:	669 BROAD AVE STE 202
Second Line	:
City	:	RIDGEFIELD
State	:	NJ
Zip	:	07657-1631
Country	:	US
Telephone Number	:	201-941-8087
Fax Number	:	551-313-8660

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. JONG HWANG
Credential	:	DMD
Telephone Number	:	201-941-8087

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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Directions to “SMILE DENTAL STUDIO PC ” Practice Location

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