Jeong H Son is a General Practice in Fairfield, California. Jeong H Son practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeong H Son is 1962514695. The last update date is 2015-01-05.
Jeong H Son's current location address is 1363 Oliver Rd, Fairfield, California. You can contact this provider via phone number 7074291708 and fax number 7074291794. The mailing address for Jeong H Son is 1363 Oliver Rd, Fairfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeong H Son |
|---|---|
| Address | 1363 Oliver Rd, Fairfield, California |
| Phone Number | 7074291708 |
| Fax Number | 7074291794 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1962514695 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2015-01-05 |
Provider Mailing Address Detail
| Address | 1363 Oliver Rd |
|---|---|
| City | Fairfield |
| State | California (CA) |
| Post Code | 945343470 |
| Phone Number | 7074291708 |
| Fax Number | 7074291794 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 49996 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20-3314042 | TAX ID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jeong H Son by the Centers for Medicare & Medicaid Services?
The Jeong H Son has been issued the NPI (National Provider Identifier) 1962514695, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jeong H Son is geographically located?
The Jeong H Son is physically situated at the following location: 1363 Oliver Rd, Fairfield, CA, 945343470.
What is Jeong H Son's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeong H Son's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Jeong H Son receive its 1962514695 assignment from the Centers for Medicare & Medicaid Services?
The Jeong H Son was assigned its 1962514695 by the Centers for Medicare & Medicaid Services on 2006-08-31.
When was the information pertaining to Jeong H Son most recently updated or revised?
The details related to Jeong H Son, including its address, specialty, and other relevant information, were last updated or revised on 2015-01-05.