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BOM JEON DENTAL CORP
NPI 1013590025
Clinic/Center - Dental in Fullerton, CA

Active since April 29, 2021
1401 S BROOKHURST RD STE 104, FULLERTON, CA 92833(714) 879-2828 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bom Jeon Dental Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOM JEON DENTAL CORP (NPI 1013590025) is a healthcare organization registered as a dental in Fullerton, California and active in the NPI registry since April 2021. The organization lists Bom Jeon, President, as its authorized official.

NPPES Registry Identity

NPI1013590025
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBOM JEON DENTAL CORP
Location Address1401 S BROOKHURST RD STE 104Fullerton, CA 92833-4492
Mailing Address1401 S Brookhurst Rd Ste 104Fullerton, CA 92833-4492
Phone(714) 879-2828
Organization SubpartNo
Authorized OfficialBom JeonPresident · (714) 485-9999
Enumeration DateApril 29, 2021
NPPES CertifiedApril 29, 2021
✔ NPI 1013590025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1401 S BROOKHURST RD STE 104, Fullerton, CA 92833
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEVIN LA D.D.S.
Dentist
1401 S BROOKHURST RD STE 104
FULLERTON, CA 92833
Orange County (714) 879-2828
KEVIN LA DDS PROFESSIONAL DENTAL CORPORATION
Dentist (General Practice)
1401 S BROOKHURST RD STE 104
FULLERTON, CA 92833
Orange County (714) 879-2828
BOM SEOK JEON, DDS, INC
Dentist
1401 S BROOKHURST RD STE 104
FULLERTON, CA 92833
Orange County (714) 879-2828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bom Jeon Dental Corp's NPI number?

The NPI number for Bom Jeon Dental Corp is 1013590025. It was assigned to this organization in the NPPES registry on April 29, 2021.

Where is Bom Jeon Dental Corp located?

Bom Jeon Dental Corp is located at 1401 S Brookhurst Rd Ste 104, Fullerton, CA 92833. The listed phone number is (714) 879-2828.

What is Bom Jeon Dental Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Bom Jeon Dental Corp was last updated on April 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.