Won J DDS Dental, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

44125 Issued in CA

Legal business name

WON J DDS DENTAL, INC.

Doing business as

Pacific Dental Care/Dental Group of Dr. Won

Practice address

39522 10TH St W Ste C
Palmdale, CA 93551-3757

Phone

(661) 267-5700

Fax

(661) 267-0103

NPI assigned

Jul 3, 2018

Last updated

May 16, 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 3

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
• Jea Young Jeon, DDS

  • Dentist
  • Hacienda Heights, CA
  • NPI 1770061558
  NPD (past)
• Daeuk David Kim, DDS

  • Dentist
  • Brea, CA
  • NPI 1356827737
  NPD (past)

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1700372679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39522 10TH ST W STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513757",
            "telephone_number": "661-267-5700",
            "fax_number": "661-267-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39522 10TH ST W STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513757",
            "telephone_number": "661-267-5700",
            "fax_number": "661-267-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WON J DDS DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "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": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "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"
        }
    ]
}

• Robert Winkler, RN
• Claire Lilian Winstone, PH.D., L.M.F.T.
• Dorrian Deshawn Winton
• Jessica Wleh, PEER SPECIALIST
• Alfred Aloysius Wohlfort, MFT
• Jonathan S Won, DDS
• Dawn Wood
• John Woodcock, DO
• Kristen Woods, LMFT
• Adrian Maureen Woodson, APRN-BC

• Dentist in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.