William Jeong, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38957 Issued in TX

Practice address

2811 S Loop 289 Ste 12
Lubbock, TX 79423-1443

Phone

(806) 748-9797

NPI assigned

Aug 26, 2022

Last updated

Aug 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• William Jeong, DDS, P.a.

  dba Affordable Dentures & Implants - Lubbock

  • General Practice Dentistry
  • Lubbock, TX
  • NPI 1568220846
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1013636455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 GALLERIA APT 3342",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445340",
            "telephone_number": "515-203-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 S LOOP 289 STE 12",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231443",
            "telephone_number": "806-748-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEONG",
        "first_name": "WILLIAM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Morse, M.a., LPC, PLLC
• Shirmar Lavance Jennings
• Delaney Nicole Jenschke, MD
• Chloe Ansmarie Jensen, MD
• Jordan Richard Jensen, DC
• Jeremiah Graff DPM P a (Texas Cetner for Foot & Ankle Surgery)
• Michael Xincheng Ji, MD
• Francisco Eduardo Jimenez Pacheco
• Amanda Alysha R Jimenez
• Annalee Mims Jimenez, APN

• General Practice Dentistry in Lubbock, TX
• Providers in Lubbock, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.