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Bom Seok Jeon, DDS, Inc

NPI 1780030304ActiveOrganization· Dentist· Fullerton, CA

Dentist in Fullerton, California, registered in NPPES in May 2016. The authorized official on file is Bom Seok Jeon, DDS, President.

Overview

NPI1780030304
StatusActive
Entity typeOrganization
NPI issuedMay 12, 2016
Last updated in NPPESMay 12, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X62451CA

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

Other Dentist providers in Fullerton

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