Bom Seok Jeon is a Fullerton, California based Dentist with 12 years of experience in General Practice Dentistry. He completed his graduation from Loma Linda University School Of Dentistry in 2013. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Bom Seok Jeon is 62451 for Oral and Maxillofacial Surgery in California. His current practice location is 1401 S Brookhurst Rd, Ste 104, Fullerton. Patients can reach him at 714-879-2828.
Bom Seok Jeon is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Bom Seok Jeon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Bom Seok Jeon
Specialization:
Dentist
Gender:
Male
Experience:
12+ years
Medical School Attended:
Loma Linda University School Of Dentistry
Graduation Year:
2013
Accepts Medicare Assignment:
Yes
Practice Address:
1401 S Brookhurst Rd, Ste 104, Fullerton, California, 92833-4492
Phone:
714-879-2828
Fax:
714-879-2226
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0244532687
Enrollment ID:
I20171212002574
NPI Number:
1295175859
NPI Enumeration Date:
27 Jun, 2013
NPI Last Update On:
06 Jun, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bom Seok Jeon are as mentioned below.
License Number
Specialization
State
Status
62451
Oral and Maxillofacial Surgery
California
Primary
62451
General Practice Dentistry
California
Secondary
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS
He does not participate in the Physician Quality Reporting System Incentive Program.
EHR
He does not participate in the Electronic Health Record Incentive Program.
MHI
He does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1401 S Brookhurst Rd Ste 104, Fullerton, California
Zip:
92833-4492
Phone Number:
714-879-2828
Patients can reach Bom Seok Jeon at 1401 S Brookhurst Rd, Ste 104, Fullerton, California or can call to book an appointment on 714-879-2828. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.