HACIENDA DENTISTRY
NPI 1104579465
Clinic/Center - Dental in Hacienda Heights, CA

Active since January 27, 2022
3120 S HACIENDA BLVD STE 204, HACIENDA HEIGHTS, CA 91745(239) 938-6860 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hacienda Dentistry NPPES

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

HACIENDA DENTISTRY (NPI 1104579465) is a healthcare organization registered as a dental in Hacienda Heights, California and active in the NPI registry since January 2022. The organization lists Jea Young Jeon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104579465
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJ JEON DDS, INC.
Location Address3120 S HACIENDA BLVD STE 204Hacienda Heights, CA 91745-6305
Mailing Address3120 S Hacienda Blvd Ste 204Hacienda Heights, CA 91745-6305 · (626) 330-4548
Organization SubpartNo
Authorized OfficialJea Young JeonCeo · (626) 330-4548
Enumeration DateJanuary 27, 2022
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
NPI 1104579465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3120 S HACIENDA BLVD STE 204, Hacienda Heights, CA 91745

Other Names 1

Doing Business AsHacienda Dentistry

Other Providers at the Same Location NPPES

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

Dentist
3120 S HACIENDA BLVD STE 204
HACIENDA HEIGHTS, CA 91745

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 J Jeon Dds, Inc.'s NPI number?

The NPI number for J Jeon Dds, Inc. is 1104579465. It was assigned to this organization in the NPPES registry on January 27, 2022. The provider is doing business as Hacienda Dentistry.

Where is J Jeon Dds, Inc. located?

J Jeon Dds, Inc. is located at 3120 S Hacienda Blvd Ste 204, Hacienda Heights, CA 91745. The listed phone number is (239) 938-6860.

What is J Jeon Dds, Inc.'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 J Jeon Dds, Inc. was last updated on March 25, 2022. 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.