KYOUNGSOO JEON
NPI 1245728104
Dentist in Dunkirk, NY

Q: What is Kyoungsoo Jeon's NPI number?

The NPI number for Kyoungsoo Jeon is 1245728104. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Q: What is Kyoungsoo Jeon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kyoungsoo Jeon was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 April 26, 2018

10765 BENNETT RD, DUNKIRK, NY 14048(716) 366-6822 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 29, 2019, Apr 26, 2018 (2 updates tracked since 2018).

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About Kyoungsoo Jeon NPPES

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

KYOUNGSOO JEON (NPI 1245728104) is an individual dentist in Dunkirk, New York, licensed in New York (062608) and active in the NPI registry since April 2018. He maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1245728104

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameKYOUNGSOO JEON

Location Address10765 BENNETT RDDunkirk, NY 14048-3567

Mailing Address10765 Bennett RdDunkirk, NY 14048-3567 · (716) 366-6822

Phone(716) 366-6822

Sole ProprietorYes

Enumeration DateApril 26, 2018

Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration

NPPES CertifiedOctober 15, 2024

✔ NPI 1245728104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in NY · 062608✔ Licensed in OH · 30.025666

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10765 BENNETT RD, Dunkirk, NY 14048

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Secondary Practice Location 1

Location 1625 Elmwood Ave # 683Rochester, NY 14620-2913 · Phone (585) 275-8315

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

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

BRITTANY SHEEHAN

Dentist

10765 BENNETT RD
DUNKIRK, NY 14048

Chautauqua County (716) 366-6822

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 Kyoungsoo Jeon's NPI number?

The NPI number for Kyoungsoo Jeon is 1245728104. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Kyoungsoo Jeon located?

Kyoungsoo Jeon practices at 10765 Bennett Rd, Dunkirk, NY 14048. The listed phone number is (716) 366-6822.

What is Kyoungsoo Jeon's specialty?

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

What insurance does Kyoungsoo Jeon accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Ohio and 6 other insurers list Kyoungsoo Jeon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyoungsoo Jeon was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.