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Active NPI 1306697479 Individual Practitioner Male Practitioner

Seung Jun Jang

Dentist - General Practice • Wallingford, CT

Professional Overview & Biography Verified Profile Summary

Seung Jun Jang is a registered healthcare professional specializing in Dentist - General Practice in Wallingford, CT. Practice services are available at 174 N PLAINS INDUSTRIAL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

174 N Plains Industrial Rd

Wallingford, CT 064922337

Telephone 2036269454

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wallingford, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.0 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
18 Specialists

Practicing in Wallingford, CT (1821 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CT 14423

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1 Kneeland St

Boston, MA 021111527

Phone: 6176366828

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
David Wu

Dentist

NPI 1083840847
NPI 1356663702

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location July 07, 2025

Registered at 174 N PLAINS INDUSTRIAL RD, WALLINGFORD, CT 064922337 (Tel: 2036269454)

NPI Profile Active March 28, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2024

Registered at 1 KNEELAND ST, BOSTON, MA 021111527 (Tel: 6176366828)

📍
Updated Business Mailing Address March 28, 2024

Registered at 100 SHAWMUT AVE UNIT 912, BOSTON, MA 021184207 (Tel: 6178909470)

👤
Provider Name / Credentials Updated March 28, 2024

Recorded as SEUNG JUN JANG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 28, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306697479
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2024
Last Update: July 07, 2025
Sole Proprietor: No

Mailing Address

100 Shawmut Ave Unit 912

Boston, MA 021184207

Phone: 6178909470

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.