Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HANA VIVIAN JEONG DMD
NPI 1083303994
Dentist in Poplar Bluff, MO

Active since May 05, 2023
1407 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901(573) 778-3042(573) 778-9432 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 4, 2026, May 5, 2023 (2 updates tracked since 2023).

About Hana Vivian Jeong Dmd NPPES

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

HANA VIVIAN JEONG DMD (NPI 1083303994) is an individual dentist in Poplar Bluff, Missouri, licensed in Missouri (2026023587) and active in the NPI registry since May 2023. She maintains 12 additional practice locations.

NPPES Registry Identity

NPI1083303994
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameHANA VIVIAN JEONGCredential: DMD
Location Address1407 N WESTWOOD BLVDPoplar Bluff, MO 63901-3315
Mailing Address110 S 2nd StEllington, MO 63638-9400 · (573) 663-2313 · Fax (573) 663-2441
Fax(573) 778-9432
Sole ProprietorNo
Enumeration DateMay 5, 2023
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
NPI 1083303994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MO · 2026023587
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1407 N WESTWOOD BLVD, Poplar Bluff, MO 63901

Secondary Practice Locations 12

Location 13277 US Highway 160 WDoniphan, MO 63935-5710 · Phone (573) 804-9527 · Fax (573) 804-9536
Location 2289 Broadway StNeelyville, MO 63954-7176 · Phone (573) 804-9494 · Fax (573) 804-9493
Location 3603 E Summit StDoniphan, MO 63935-1142 · Phone (573) 996-3667 ext. 1117 · Fax (573) 413-4487
Location 4101 E Batten StreetNaylor, MO 63953 · Phone (573) 804-1779 · Fax (573) 804-1789
Location 5711 Nickey StPoplar Bluff, MO 63901-6544 · Phone (573) 785-7047 · Fax (573) 413-4192
Location 61300 Victory LnPoplar Bluff, MO 63901-3300 · Phone (573) 785-5566 ext. 17097 · Fax (573) 413-4194
Location 72300 Baugh LnPoplar Bluff, MO 63901-2402 · Phone (573) 785-3037 ext. 16044 · Fax (573) 413-4506
Location 81 Hals Plz Ste BPiedmont, MO 63957-1631 · Phone (573) 223-8902 · Fax (573) 223-2141
Location 9109 Plum St Ste DDoniphan, MO 63935-1225 · Phone (573) 351-2041 · Fax (573) 351-2016
Location 10315 W Mulberry Ste BPilot Knob, MO 63663-7883 · Phone (573) 546-1001 · Fax (573) 546-1002
Location 1111001 US-160Harviell, MO 63945 · Phone (573) 804-9561 · Fax (573) 804-9581
Location 12115 W Walnut StEllington, MO 63638-9300 · Phone (573) 663-3177 · Fax (573) 663-3188

Other Providers at the Same Location NPPES 9

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

Dentist
1407 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Clinic/Center (Federally Qualified Health Center (FQHC))
1407 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Dental Hygienist
1407 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Dental Hygienist
1407 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Clinic/Center (Federally Qualified Health Center (FQHC))
1407 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Dentist (General Practice)
1407 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Dental Hygienist
1407 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Dentist
1407 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901

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 Hana Jeong's NPI number?

The NPI number for Hana Jeong is 1083303994. It was assigned to this individual provider in the NPPES registry on May 5, 2023.

Where is Hana Jeong located?

Hana Jeong practices at 1407 N Westwood Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 778-3042.

What is Hana Jeong's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Hana Jeong was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.