IndividualActive
Daniel Jeong, D.D.S.
NPI 1922273036 · Oral and Maxillofacial Surgery (Dentist) · Tewksbury, MA
Provider details
- NPI number
- 1922273036
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN1855177 (MA)
Specialties & taxonomies
Dental Providers
Practice location
1201 Main St
Tewksbury, MA 01876-4774
Phone: (978) 851-5200
Approximate (ZIP-level) locationGet directions
Mailing address
1201 Main St
Tewksbury, MA 01876-4774
Registry dates
- Enumerated
- 2008-04-29
- Last updated
- 2021-11-08
- Certified
- 2021-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.