Se-Young Jeon, DDS
Dentist, General Practice in Alexandria, VA. Individual provider (NPI-1).
NPI number1982126884
StatusActive
Last updated in NPPESJul 1, 2021
Details
- NPI
- 1982126884
- Entity type
- Individual (NPI-1)
- Name
- Se-Young Jeon
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2017
- Certification date
- Jul 1, 2021
- Last updated
- Jul 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 0401416390 | VA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
5130 Duke St Ste 4Alexandria, VA 22304-2955
Phone 703-370-6500
Mailing address
4160 Calais Point CtFairfax, VA 22033-6200
Other practice locations
8622 Lee Hwy Ste A
Fairfax, VA 22031-2148
Fairfax, VA 22031-2148
Phone 703-876-4600
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