Bennett C. Jeong in San Dimas - General Practice
Bennett C. Jeong - NPI 1700869039
Bennett C. Jeong is a General Practice in San Dimas, California. Bennett C. Jeong practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bennett C. Jeong is 1700869039. The last update date is 2007-07-08.
Bennett C. Jeong's current location address is 1075 Via Verde, San Dimas, California. You can contact this provider via phone number 9095998331. The mailing address for Bennett C. Jeong is 1075 Via Verde, San Dimas, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bennett C. Jeong |
|---|---|
| Address | 1075 Via Verde, San Dimas, California |
| Phone Number | 9095998331 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1700869039 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1075 Via Verde |
|---|---|
| City | San Dimas |
| State | California (CA) |
| Post Code | 917734347 |
| Phone Number | 9095998331 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 27306 |
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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. |
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What is the unique identifier code issued to Bennett C. Jeong by the Centers for Medicare & Medicaid Services?
The Bennett C. Jeong has been assigned the NPI (National Provider Identifier) 1700869039. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bennett C. Jeong's physical address?
The Bennett C. Jeong is physically located at 1075 Via Verde, in the city of San Dimas, CA, with the postal code 917734347.
What is the Bennett C. Jeong's specialty and taxonomy code?
The Bennett C. Jeong's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700869039 to Bennett C. Jeong?
The Centers for Medicare & Medicaid Services originally issued the 1700869039 to Bennett C. Jeong on 2005-11-21.
When was the information related to Bennett C. Jeong most recently updated or refreshed?
The details pertaining to the Bennett C. Jeong, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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