Jeon, Danny
Jeon, Danny is an sole proprietor health care provider with primary practice located at 2258 Northlake Pkwy Suite 200, Tucker GA 30084. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jeon, Danny can be contacted via phone (678) 937-9601.Contact Information
Primary practice address
2258 Northlake Pkwy Suite 200
Tucker GA 30084
Phone: (678) 937-9601
Fax: (678) 937-9602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN013196 | Georgia |
Profile Details
| NPI number | 1154490639 |
|---|---|
| LBN Legal business name | Jeon, Danny |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Jun 19th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154490639 | NPPES |
| Georgia | MEDICAID | 733999822A |
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