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

Heesoo Jeong

Individual provider Dentist · NPI 1598442402

Heesoo Jeong is a Dentist in Manteca, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2288 Daniels St
Manteca, CA 95337-6706
Phone: (646) 388-4461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 109362 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1598442402
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2023
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023
Mailing address1010 16th St Apt 573, San Francisco, CA 94107-3773

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