DR. JAE JUN DDS, MD
NPI 1114173721
Oral & Maxillofacial Surgery in Sacramento, CA

Q: What is Jae Jun's NPI number?

The NPI number for Jae Jun is 1114173721. It was assigned to this individual provider in the NPPES registry on August 14, 2008.

Q: What is Jae Jun's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: When was this NPI record last updated?

The NPPES record for Jae Jun was last updated on December 15, 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 August 14, 2008PECOS Enrolled

7300 WYNDHAM DR, SACRAMENTO, CA 95823(916) 525-6464 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jae Jun Dds, Md NPPES

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

DR. JAE JUN DDS, MD (NPI 1114173721) is an individual oral & maxillofacial surgery provider in Sacramento, California, licensed in California (A106794) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114173721

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameDR. JAE JUNCredential: DDS, MD

Location Address7300 WYNDHAM DRSacramento, CA 95823-4913

Mailing Address7300 Wyndham DrSacramento, CA 95823-4913 · (916) 525-6464

Phone(916) 525-6464

Sole ProprietorNo

Enumeration DateAugust 14, 2008

Last NPPES UpdateDecember 15, 2021

✔ NPI 1114173721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in CA · A106794

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

7300 WYNDHAM DR, Sacramento, CA 95823

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jae Jun Dds, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

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