1. Home
  2. Directory
  3. California
  4. Fullerton
  5. Dentist
  6. NPI Profile

BOM SEOK JEON, DDS, INC
NPI 1780030304
Dentist in Fullerton, CA

Active since May 12, 2016
1401 S BROOKHURST RD STE 104, FULLERTON, CA 92833(714) 879-2828 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bom Seok Jeon, Dds, Inc NPPES

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

BOM SEOK JEON, DDS, INC (NPI 1780030304) is a healthcare organization registered as a dentist in Fullerton, California and active in the NPI registry since May 2016. The organization lists Bom Seok Jeon, President, as its authorized official.

NPPES Registry Identity

NPI1780030304
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameBOM SEOK JEON, DDS, INC
Location Address1401 S BROOKHURST RD STE 104Fullerton, CA 92833-4492
Mailing Address1401 S Brookhurst Rd Ste 104Fullerton, CA 92833-4492 · (714) 879-2828
Phone(714) 879-2828
Organization SubpartNo
Authorized OfficialBom Seok JeonPresident · (213) 700-5090
Enumeration DateMay 12, 2016
✔ NPI 1780030304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 62451
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.
1401 S BROOKHURST RD STE 104, Fullerton, CA 92833
Open in Google Maps ↗

Other Identifiers 1

Other1295175859CA · Dentical

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

BOM JEON DENTAL CORP
Clinic/Center (Dental)
1401 S BROOKHURST RD STE 104
FULLERTON, CA 92833
Orange County (714) 879-2828
KEVIN LA DDS PROFESSIONAL DENTAL CORPORATION
Dentist (General Practice)
1401 S BROOKHURST RD STE 104
FULLERTON, CA 92833
Orange County (714) 879-2828
DR. KEVIN LA D.D.S.
Dentist
1401 S BROOKHURST RD STE 104
FULLERTON, CA 92833
Orange County (714) 879-2828

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 Bom Seok Jeon, Dds, Inc's NPI number?

The NPI number for Bom Seok Jeon, Dds, Inc is 1780030304. It was assigned to this organization in the NPPES registry on May 12, 2016.

Where is Bom Seok Jeon, Dds, Inc located?

Bom Seok Jeon, Dds, Inc is located at 1401 S Brookhurst Rd Ste 104, Fullerton, CA 92833. The listed phone number is (714) 879-2828.

What is Bom Seok Jeon, Dds, Inc'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 Bom Seok Jeon, Dds, Inc was last updated on May 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.