JINWOO JEONG DMD
NPI 1093485815
Dentist - General Practice in Fremont, CA

Q: What is Jinwoo Jeong's NPI number?

The NPI number for Jinwoo Jeong is 1093485815. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Q: What is Jinwoo Jeong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jinwoo Jeong was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since September 14, 2021

38056 MARTHA AVE, FREMONT, CA 94536(510) 505-9409 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jinwoo Jeong Dmd NPPES

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

JINWOO JEONG DMD (NPI 1093485815) is an individual general practice provider in Fremont, California, licensed in California (106924) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1093485815

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJINWOO JEONGCredential: DMD

Location Address38056 MARTHA AVEFremont, CA 94536-3809

Mailing Address330 Crescent Village Cir Unit 1429San Jose, CA 95134-3525 · (847) 715-8182

Phone(510) 505-9409

Sole ProprietorNo

Enumeration DateSeptember 14, 2021

NPPES CertifiedSeptember 14, 2021

✔ NPI 1093485815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 106924

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 106924 (CA)

38056 MARTHA AVE, Fremont, CA 94536

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Other Providers at the Same Location NPPES 4

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

TAHANI AL MASHTA DDS

Dentist

38056 MARTHA AVE
FREMONT, CA 94536

Alameda County (510) 505-9409

AZIZA AWNALLAH DMD/ DDS

Dentist

38056 MARTHA AVE
FREMONT, CA 94536

Alameda County (510) 505-9453

DR. KEANE WAYNE YOUNG DDS

Dentist (General Practice)

38056 MARTHA AVE
FREMONT, CA 94536

Alameda County (510) 505-9409

DR. MOSTAFA GHULAM BARAKZOY DDS

Dentist

38056 MARTHA AVE
FREMONT, CA 94536

Alameda County (510) 505-9409

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 Jinwoo Jeong's NPI number?

The NPI number for Jinwoo Jeong is 1093485815. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Jinwoo Jeong located?

Jinwoo Jeong practices at 38056 Martha Ave, Fremont, CA 94536. The listed phone number is (510) 505-9409.

What is Jinwoo Jeong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jinwoo Jeong was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.