IndividualActive
Jeffery Coon, DMD
NPI 1376129072 · Oral and Maxillofacial Pathology Dentistry · Santa Ana, CA
Provider details
- NPI number
- 1376129072
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DDS111438 (CA)
Practice location
801 N Tustin Ave Ste 705
Santa Ana, CA 92705-3611
Phone: (714) 835-8873
Mailing address
17511 Sherbrook Dr
Tustin, CA 92780-2502
Registry dates
- Enumerated
- 2021-03-23
- Last updated
- 2026-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.