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

Dr. Jason Jeon, DMD

Individual provider Dentist · NPI 1922857226

Dr. Jason Jeon, DMD is a Dentist in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2024
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

636 Broadway St NE
Minneapolis, MN 55413-2164
Phone: (612) 746-1530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D15053 (MN)

Record details

NPI number1922857226
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 17, 2024
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024

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