Grace Eunhee Jeong, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6918 Issued in AZ

Practice address

5940 W Union Hills Dr Ste F110
Glendale, AZ 85308-1303

Phone

(602) 978-9575

NPI assigned

May 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679795322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20401 N 19TH AVE APT 2100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273579",
            "telephone_number": "623-337-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 W UNION HILLS DR STE F110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081303",
            "telephone_number": "602-978-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEONG",
        "first_name": "GRACE",
        "middle_name": "EUNHEE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jensen Moore Chiropractic PLLC (Arizona Family Wellness)
• Douglas P Jensen, MD
• Kristal M Jensen, ATC, LAT
• Mark Jensen, D.D.S.
• Rebecca Ely Jensen, M.S.,CCC-SLP
• Jerrold K. Altman DMD,PC
• Indrajith Jetti
• David Jewett
• Jewish Family & Children's Service
• JG Dental PLLC

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.