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Deactivated NPI 1821777202 Deactivated / Inactive NPI Male Practitioner

Dr. Seung Won Jung , DDS

Dentist • Hackensack, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Seung Won Jung has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 13, 2023
NPI Deactivation Date February 20, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Seung Won Jung, DDS was a registered Dentist practicing in Hackensack, NJ. Throughout an active medical career spanning 1 years, Dr. Jung provided care at the practice location at 35 PANGBORN PL until profile deactivation on 2024-02-20.

Practice Location & Contact Primary Location

Practice Address

35 Pangborn Pl

Hackensack, NJ 076014560

Telephone 2129989800
Associated Practice Facility / Clinic
🏢 Pangborn Family Dentistry Llc Facility NPI 1982180360

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Hackensack, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 20.7 Yrs
Regional Practice Density
49 Specialists

Practicing in Hackensack, NJ (2906 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: 2025-10-15
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NJ 22DI03108000

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Keith Cassar

Dentist - General Practice

NPI 1003592601
NPI 1003592718
Leena Manzoor

Student in an Organized Health Care Education/Training Program

NPI 1003592734
NPI 1003593211

Doctor of Dental Surgery

Jongwook Cha

Student in an Organized Health Care Education/Training Program

NPI 1003593252
Yoonchang Kim

Student in an Organized Health Care Education/Training Program

NPI 1003593658

Career & Practice History Timeline

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

12 Historical Events
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Updated Practice Location October 15, 2025

Registered at 35 PANGBORN PL, HACKENSACK, NJ 076014560 (Tel: 2129989800)

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Updated Practice Location September 11, 2025

Registered at 345 E. 24TH STREET, NEW YORK, NY 10010 (Tel: 2129989800)

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Updated Business Mailing Address September 11, 2025

Registered at 35 PANGBORN PL, HACKENSACK, NJ 07601 (Tel: 2129989800)

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Provider Name / Credentials Updated September 11, 2025

Recorded as SEUNG WON JUNG, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2025

Dentist (License #22DI03108000 in NJ)

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NPI Profile Deactivated February 20, 2024

Record deactivated on February 20, 2024

NPI Profile Active July 13, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2023

Registered at 345 E. 24TH STREET, NEW YORK, NY 10010 (Tel: 2129989800)

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Updated Business Mailing Address July 13, 2023

Registered at 345 E. 24TH STREET, NEW YORK, NY 10010 (Tel: 2129989800)

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Provider Name / Credentials Updated July 13, 2023

Recorded as SEUNG WON JUNG

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2023

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration July 13, 2023

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: 1821777202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2023
Last Update: October 15, 2025
Deactivation Date: February 20, 2024
Sole Proprietor: No

Mailing Address

35 Pangborn Pl

Hackensack, NJ 07601

Phone: 2129989800

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.