Provider Demographics
NPI:1952087942
Name:JUNG, ERICK SANGWUN (DDS)
Entity type:Individual
Prefix:
First Name:ERICK
Middle Name:SANGWUN
Last Name:JUNG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 PANGBORN PL
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-4560
Mailing Address - Country:US
Mailing Address - Phone:201-620-9644
Mailing Address - Fax:
Practice Address - Street 1:35 PANGBORN PL
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-4560
Practice Address - Country:US
Practice Address - Phone:201-620-9644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-23
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI030957001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice