Dr. Won's DDS Dental, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44125 Issued in CA

Legal business name

DR. WON'S DDS DENTAL, INC.

Doing business as

Pacific Dental Care/Dental Group of Dr. Won

Practice address

2535 W Rosamond Blvd # B
Rosamond, CA 93560-9356

Phone

(661) 256-2500

NPI assigned

Jul 5, 2018

Last updated

Jun 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Gloria Won

Title

Cfo

Phone

(661) 267-5700

Specialties & licenses 1

Addresses

Other names 1

• Pacific Dental Care/Dental Group of Dr. Won Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan S Won, DDS

  • General Practice Dentistry
  • Palmdale, CA
  • NPI 1760650600
  NPD
• David S Jeon, DDS

  • General Practice Dentistry
  • Rosamond, CA
  • NPI 1326418344
  NPD (past)

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1275029969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 W ROSAMOND BLVD # B",
            "city": "ROSAMOND",
            "state": "CA",
            "postal_code": "935606266",
            "telephone_number": "661-256-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 W ROSAMOND BLVD # B",
            "city": "ROSAMOND",
            "state": "CA",
            "postal_code": "935609356",
            "telephone_number": "661-256-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WON'S DDS DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "WON",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "661-267-5700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Dental Care/Dental Group of Dr. Won",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Dental Care/Dental Group of Dr. Won",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Clark
• Jasmine Cole
• Jasmin Dhillon
• Jorge Diaz
• Tanika Marie Dodd
• Elisabeth Du Plessis
• Questa Jeniya Edwards, FNP-C
• Guadalupe Enriquez Pacheco
• Sharon Adell Evanoff-Eastman
• Cecilia Fisher, RDN

• General Practice Dentistry in Rosamond, CA
• Providers in Rosamond, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.