OrganizationActive
Jong Um DDS, Inc
NPI 1104204445 · General Practice Dentistry · Fort Myers, FL
Jong Um DDS, Inc is a General Practice Dentistry organization in Fort Myers, FL (NPI 1104204445).
Provider details
- NPI number
- 1104204445
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jong Um, President(860) 325-0022
- License
- DN 20702 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
9312 La Bianco St
Fort Myers, FL 33967-5641
Phone: (860) 325-0022
Street-level locationGet directions
Mailing address
9312 La Bianco St
Fort Myers, FL 33967-5641
Other names (DBA / former)
- Doing business as
- Same Day Dental PA
Registry dates
- Enumerated
- 2015-05-06
- Last updated
- 2015-05-06
Frequently asked questions
- What is Jong Um DDS, Inc's NPI number?
- Jong Um DDS, Inc's National Provider Identifier (NPI) is 1104204445, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jong Um DDS, Inc?
- Jong Um DDS, Inc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Jong Um DDS, Inc located?
- Jong Um DDS, Inc's practice location on file with NPPES is 9312 La Bianco St, Fort Myers, FL 33967-5641.
- What is Jong Um DDS, Inc's phone number?
- The practice phone number listed in the NPPES registry for Jong Um DDS, Inc is (860) 325-0022.
- Who is the authorized official for Jong Um DDS, Inc?
- The authorized official listed on Jong Um DDS, Inc's NPPES record is Jong Um, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jong Um DDS, Inc's NPI active?
- Yes — Jong Um DDS, Inc's NPI (1104204445) is active in the NPPES registry as of the last update on 2015-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.