Search › Indiana › 122300000X
Jungsoo Nam
NPI 1194501031 · on the registry since 2023
Practice
- Address
- 330 N Jacob Dr
Bloomington, IN 47404 - Phone
- (812) 323-7595
- Organisation at this address
- Cs Dental Llc
Lk Dental, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 1001 Shadow Ln, Las Vegas, NV
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana