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

Kyoungsoo Jeon

Individual provider Dentist · NPI 1245728104

Kyoungsoo Jeon is a Dentist in Dunkirk, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York and Ohio.

Licensed in
NY, OH
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

10765 Bennett Rd
Dunkirk, NY 14048-3567
Phone: (716) 366-6822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 625 Elmwood Ave # 683, Rochester, NY 14620-2913 — (585) 275-8315

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 062608 (NY)
Dentist Taxonomy 122300000X · Licence 30.025666 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245728104
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 26, 2018
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

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