JINWOO JEONG DMD NPI 1093485815

NPI Information

  • NPI: 1093485815
  • Provider Name: JINWOO JEONG, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 38056 MARTHA AVE
    FREMONT, CA
    ZIP 94536
  • Phone: (510) 505-9409

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NPI Details

Jinwoo Jeong, DMD is a general practice dentist in Fremont, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Jinwoo Jeong, DMD NPI is 1093485815. 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:

38056 MARTHA AVE
FREMONT, CA
ZIP 94536-809
Phone: (510) 505-9409

The enumeration date for this NPI number is 9/14/2021 and was last updated on 9/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist106924CALIFORNIANo
21223G0001XDentistGeneral Practice106924CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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