OrganizationActive
Bennett Jeong, DDS, Inc.
NPI 1366850778 · Dental Clinic/Center · San Dimas, CA
Bennett Jeong, DDS, Inc. is a Dental Clinic/Center organization in San Dimas, CA (NPI 1366850778).
Provider details
- NPI number
- 1366850778
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bennett Jeong, Owner(909) 599-8331
- License
- 63595 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1057 Via Verde
San Dimas, CA 91773-4347
Phone: (909) 599-8331
Street-level locationGet directions
Mailing address
1057 Via Verde
San Dimas, CA 91773-4347
Other names (DBA / former)
- Doing business as
- Via Verde Dental
- Doing business as
- Via Verde Dental
Registry dates
- Enumerated
- 2014-07-29
- Last updated
- 2021-06-22
- Certified
- 2021-06-08
Frequently asked questions
- What is Bennett Jeong, DDS, Inc.'s NPI number?
- Bennett Jeong, DDS, Inc.'s National Provider Identifier (NPI) is 1366850778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bennett Jeong, DDS, Inc.?
- Bennett Jeong, DDS, Inc. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bennett Jeong, DDS, Inc. located?
- Bennett Jeong, DDS, Inc.'s practice location on file with NPPES is 1057 Via Verde, San Dimas, CA 91773-4347.
- What is Bennett Jeong, DDS, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Bennett Jeong, DDS, Inc. is (909) 599-8331.
- Who is the authorized official for Bennett Jeong, DDS, Inc.?
- The authorized official listed on Bennett Jeong, DDS, Inc.'s NPPES record is Bennett Jeong, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bennett Jeong, DDS, Inc.'s NPI active?
- Yes — Bennett Jeong, DDS, Inc.'s NPI (1366850778) is active in the NPPES registry as of the last update on 2021-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.