Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629567284 Individual Practitioner Male Practitioner

Dr. Caleb Kyungsup Jang , DDS

Dentist - General Practice • Waldorf, MD

Professional Overview & Biography Verified Profile Summary

Dr. Caleb Jang, DDS is a registered healthcare professional specializing in Dentist - General Practice in Waldorf, MD. Practice services are available at 956 CHANDLER CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

956 Chandler Ct

Waldorf, MD 206022800

Telephone 3017059737
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Waldorf, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
51 Specialists

Practicing in Waldorf, MD (2555 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: 2020-11-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MD 17227

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License DC DEN1001883

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License VA 0401416443

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Hye Park , DMD

Dentist - General Practice

NPI 1164434064

Doctor of Dental Medicine

Dr. Felicia Maresca , DDS, PC

Dentist - General Practice

NPI 1982680096

Doctor of Dental Surgery, PC

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Business Mailing Address November 07, 2020

Registered at 4802 NASH DR, FAIRFAX, VA 220322530 (Tel: 9175755127)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2020

Dentist (License #0401416443 in VA)

📍
Updated Practice Location January 01, 2020

Registered at 956 CHANDLER CT, WALDORF, MD 206022800 (Tel: 3017059737)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 01, 2020

Dentist (License #17227 in MD)

📍
Updated Practice Location August 28, 2018

Registered at 6428 GEORGIA AVE NW, WASHINGTON, DC 20012 (Tel: 2027230303)

📍
Updated Business Mailing Address August 28, 2018

Registered at 5950 GRAND PAVILION WAY APT 305, ALEXANDRIA, VA 223032275 (Tel: 9175755127)

👤
Provider Name / Credentials Updated August 28, 2018

Recorded as CALEB JANG, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2018

Dentist (License #DEN1001883 in DC)

NPI Profile Active May 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 08, 2018

Registered at 6428 GEORGIA AVE NW, WASHINGTON, DC 200122910 (Tel: 2027230303)

📍
Updated Business Mailing Address May 08, 2018

Registered at 524 E 20TH ST APT 8C, NEW YORK, NY 100091307

👤
Provider Name / Credentials Updated May 08, 2018

Recorded as CALEB JANG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 08, 2018

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: 1629567284
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2018
Last Update: November 07, 2020
Sole Proprietor: No

Mailing Address

4802 Nash Dr

Fairfax, VA 220322530

Phone: 9175755127

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.