OrganizationActive
Bom Seok Jeon, DDS, Inc
NPI 1780030304 · Dentist · Fullerton, CA
Bom Seok Jeon, DDS, Inc is a Dentist organization in Fullerton, CA (NPI 1780030304).
Provider details
- NPI number
- 1780030304
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Bom Seok Jeon, President(213) 700-5090
- License
- 62451 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1401 S Brookhurst Rd Ste 104
Fullerton, CA 92833-4492
Phone: (714) 879-2828
Street-level locationGet directions
Mailing address
1401 S Brookhurst Rd Ste 104
Fullerton, CA 92833-4492
Registry dates
- Enumerated
- 2016-05-12
- Last updated
- 2016-05-12
Frequently asked questions
- What is Bom Seok Jeon, DDS, Inc's NPI number?
- Bom Seok Jeon, DDS, Inc's National Provider Identifier (NPI) is 1780030304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bom Seok Jeon, DDS, Inc?
- Bom Seok Jeon, DDS, Inc is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Bom Seok Jeon, DDS, Inc located?
- Bom Seok Jeon, DDS, Inc's practice location on file with NPPES is 1401 S Brookhurst Rd Ste 104, Fullerton, CA 92833-4492.
- What is Bom Seok Jeon, DDS, Inc's phone number?
- The practice phone number listed in the NPPES registry for Bom Seok Jeon, DDS, Inc is (714) 879-2828.
- Who is the authorized official for Bom Seok Jeon, DDS, Inc?
- The authorized official listed on Bom Seok Jeon, DDS, Inc's NPPES record is Bom Seok Jeon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bom Seok Jeon, DDS, Inc's NPI active?
- Yes — Bom Seok Jeon, DDS, Inc's NPI (1780030304) is active in the NPPES registry as of the last update on 2016-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.