David S Jeon, DDS

Individual provider Active NPI General Practice Dentistry · Rosamond, CA

NPI 1326418344 · NPPES record last updated Oct 5, 2015

Key facts

NPI
1326418344
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
41737 (CA)
Practice address
2535 W Rosamond Blvd Ste B
Rosamond, CA 93560-6266
Phone
(661) 256-2500
Fax
(661) 256-7561
NPI assigned
Oct 2, 2015
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Won'S DDS Dental, Inc. General Practice Past Accepting new patients
Sunyong J Won DDS Inc General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41737 CA Yes

Addresses

Primary practice location

2535 W Rosamond Blvd Ste B
Rosamond, CA 93560-6266

Mailing address

2535 W Rosamond Blvd Ste B
Rosamond, CA 93560-6266
Phone (661) 256-2500

Other names

  • Dr. David Seonghun Jeon Professional name

Other providers in Rosamond, CA

All providers in Rosamond, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.