Active NPIIndividual providerSole proprietor

Dr. Daniel Jeong, DDS

Dentist, Oral and Maxillofacial Surgery in Tewksbury, Massachusetts

NPI Number1922273036
Practice location
1201 Main St, Tewksbury, MA 01876-4774
Fax
—
Last updated
November 8, 2021

Daniel Jeong is a Dentist, Oral and Maxillofacial Surgery based in Tewksbury, MA. Daniel Jeong practices in Tewksbury, MA and has the professional credentials of DDS. The NPI Number for Daniel Jeong is 1922273036 and holds a License No. DN1855177 (MA). The current practice location address for Daniel Jeong is 1201 Main St, Tewksbury, MA 01876-4774 and can be reached out via phone at 978-851-5200.

Provider Profile Details

NPI Number
1922273036
Provider Name
Daniel Jeong
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1201 Main St, Tewksbury, MA 01876-4774
Phone Number
978-851-5200
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
Yes
Provider Enumeration Date
April 29, 2008
Last Update Date
November 8, 2021
Certification Date
November 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1201 Main St
Tewksbury, MA 01876-4774
Zip
01876-4774
Phone Number
978-851-5200
Tewksbury, MA 01876Get directions →

Provider Business Mailing Address Details

Address
1201 Main St
Tewksbury, MA 01876-4774
City
Tewksbury
State
MA
Zip
01876-4774
Phone Number
978-851-5200

License Information

License Number
DN1855177
License State
MA
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Daniel Jeong, DDS?

The NPI number of Dr. Daniel Jeong, DDS is 1922273036. It was assigned on April 29, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Daniel Jeong, DDS?

Dr. Daniel Jeong, DDS is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in MA under license number DN1855177.

Where does Dr. Daniel Jeong, DDS practice?

The practice location is 1201 Main St, Tewksbury, MA 01876-4774. The office can be reached at 978-851-5200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922273036 directly on the NPPES registry website.

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