Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diane Jeong, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689463978

Diane Jeong, DMD is a Student in an Organized Health Care Education/Training Program in Rochester, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

625 Elmwood Avenue Box 683
Rochester, NY 14620
Phone: (585) 275-5051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1689463978
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 2, 2025
Last updated in NPPESMay 2, 2025
Certification dateApril 26, 2025
Mailing address625 Elmwood Avenue, Box 683, Rochester, NY 14620

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