Bennett Jeong, DDS, Inc.
Bennett Jeong, DDS, Inc. is a healthcare organization registered as Dental Clinic/Center in San Dimas, CA, holding Type 2 (organization) NPI 1366850778 since 2014. The authorized official on file is Bennett Jeong, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366850778 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bennett Jeong, DDS, Inc. |
| Other name | <Unavail> |
| Practice address | 1057 VIA VERDE, San Dimas, CA, 91773 |
| Phone | 9095998331 |
| Enumeration date | 2014-07-29 |
| Last updated in NPPES | 2021-06-22 |
Authorized official
| Name | Bennett Jeong |
|---|---|
| Title | Owner |
| Phone | 9095998331 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | 63595 | CA |
Copy-ready billing details
Provider: Bennett Jeong, DDS, Inc. NPI: 1366850778 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 1057 VIA VERDE, San Dimas, CA, 91773
Verify this record
Cross-check NPI 1366850778 against the authoritative CMS record: view Bennett Jeong, DDS, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Bennett Jeong, DDS, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-06-22.