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Hana Vivian Jeong, DMD

NPI 1083303994ActiveIndividual· Dentist· Poplar Bluff, MO

Dentist (DMD) in Poplar Bluff, Missouri, licensed in MO, with an NPI issued in May 2023.

Overview

NPI1083303994
StatusActive
Entity typeIndividual
CredentialDMD
Sole proprietorNo
NPI issuedMay 5, 2023
Last updated in NPPESOct 19, 2026
Certified by providerOct 19, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X2026023587MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist providers in Poplar Bluff

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