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Contact Information

JAMES JEONG, DMD, MD
1365 CLIFTON RD CLINIC B
SUITE 2300
ATLANTA, GA30322-0312
 Phone: 404-778-4500
 Fax: 404-778-5879
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JAMES JEONG · (Male)

NPI Number 1750736112
Status Active
Credentials DMD, MD
Entity Individual
Enumeration date 05/03/2016
Last updated 04/11/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # DN122860
  • MI License # 2951000876
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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