P Praxis·MD
● Active Type 1 · Individual

Chang Woo Jung, DMD

Dentist·Ft Gordon, GA· NPI 1245719780 · Enumerated 2018 · 7 years on NPI
Jung is 1 of 9 dentist providers in Ft Gordon and 1 of 113 in Georgia.
NPI age
7 years
Enumerated 2018-08-07
Primary specialty
Dentist
Licensed in
IL
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-07-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 113 active dentist providers in Georgia.

NPI age
7 years
↓ 12 yr below median (19 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
40% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-08Enumerated in NPPES
2018 2026

Where they practice

Practice location
Bldg 38801 Academic Dr, Suite B&c
Ft Gordon, GA 309055645
📞 7067877050
Mailing address
320 East Hospital Road
Fort Gordon, GA 30905
📞 7067875102

Specialties

  • Dentist Primary
    That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and...
    IL license #019.031649 taxonomy 1223P0700X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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