Provider Demographics
NPI:1932903648
Name:JM HURNG DDS, MPH, INC.
Entity type:Organization
Organization Name:JM HURNG DDS, MPH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:HURNG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MPH
Authorized Official - Phone:408-688-7711
Mailing Address - Street 1:2081 CAMINO AL LAGO
Mailing Address - Street 2:
Mailing Address - City:ATHERTON
Mailing Address - State:CA
Mailing Address - Zip Code:94027-5938
Mailing Address - Country:US
Mailing Address - Phone:408-688-7711
Mailing Address - Fax:
Practice Address - Street 1:325 SHARON PARK DR STE D3
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-6848
Practice Address - Country:US
Practice Address - Phone:650-321-6448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental