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Organization
JEREMY M UNGER DDS PLLC
Active
Organization
JEREMY M UNGER DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY MICHAEL UNGER DDS (OWNER)
(614) 378-9578
Entity
Organization
Contact information
Practice address
9525 N BEACH ST, STE 429, FORT WORTH, TX 76244
(614) 378-9578
Mailing address
9525 N BEACH ST, STE 429, FORT WORTH, TX 76244
(614) 378-9578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32660
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033349428
NPI TYPE 1
TX
Enumeration date
07/18/2017
Last updated
07/21/2022
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