Provider Demographics
NPI:1972113884
Name:RUOHONG JIANG, DDS, PLLC
Entity type:Organization
Organization Name:RUOHONG JIANG, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RUOHONG
Authorized Official - Middle Name:
Authorized Official - Last Name:JIANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-762-0299
Mailing Address - Street 1:41-63 BOWNE STREET
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2642
Mailing Address - Country:US
Mailing Address - Phone:718-762-0299
Mailing Address - Fax:718-762-0312
Practice Address - Street 1:41-63 BOWNE STREET
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2642
Practice Address - Country:US
Practice Address - Phone:718-762-0299
Practice Address - Fax:718-762-0312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental