National Provider Identifier
Diane Jeong, DMD
Diane Jeong, DMD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-5051.
Profile Overview
- NPI
- 1689463978
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- May 02, 2025
- Last Updated
- May 02, 2025
Practice Location
- 625 Elmwood Avenue
- Box 683
- Rochester, NY 14620
Phone: (585) 275-5051
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1689463978
- Entity Type
- Individual
- Last Name
- Jeong
- First Name
- Diane
- Credential
- DMD
- Mailing Street Address
- 625 Elmwood Avenue
- Mailing Address Line 2
- Box 683
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620
- Mailing Country
- US
- Practice Street Address
- 625 Elmwood Avenue
- Practice Address Line 2
- Box 683
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620
- Practice Country
- US
- Practice Phone
- (585) 275-5051
- Enumeration Date
- May 02, 2025
- Last Updated
- May 02, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 26, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)