DR. Grant Jong, D.M.D. is an oral and maxillofacial surgery dentist in Riverside, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Grant Jong, D.M.D. NPI is 1255358172. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
6180 BROCKTON AVE
SUITE 201
RIVERSIDE, CA
ZIP 92506-228
Phone: (951) 684-5611
Fax: (951) 684-0516
The NPI 1255358172 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 7/16/2006 and was last updated on 7/8/2007.