Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacquelyn Miravite Gungon, DDS

Individual provider General Practice Dentistry · NPI 1164509782

Dr. Jacquelyn Miravite Gungon, DDS is a General Practice Dentistry in Concord, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1800 Monument Blvd Ste I
Concord, CA 94520-3870
Phone: (925) 798-4250
Fax: (925) 798-7652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 40471 (CA)

Record details

NPI number1164509782
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 1, 2006
Last updated in NPPESJuly 8, 2007

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