Edmund Jung
NPI 1053478115 · General Practice Dentistry · Kenosha, WI
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edmund Jung is a General Practice Dentistry provider in Kenosha, WI (NPI 1053478115).
Provider details
- NPI number
- 1053478115
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 1687 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-01
- Last updated
- 2007-07-08
Frequently asked questions
- What is Edmund Jung's NPI number?
- Edmund Jung's National Provider Identifier (NPI) is 1053478115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edmund Jung's specialty?
- Edmund Jung is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Edmund Jung located?
- Edmund Jung's practice location on file with NPPES is 3715 Washington Rd, Kenosha, WI 53144-1629.
- What is Edmund Jung's phone number?
- The practice phone number listed in the NPPES registry for Edmund Jung is (262) 654-6800.
- Does Edmund Jung accept Medicare?
- Edmund Jung is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edmund Jung's NPI active?
- Yes — Edmund Jung's NPI (1053478115) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.