DR. SOO CHEOL JEONG (D.D.S.) – Prosthodontics, NPI 1154648079

DR. SOO CHEOL JEONG (D.D.S.) is a healthcare provider. based in San antonio, Texas. specializing in Prosthodontics. They hold the professional credentials D.D.S.. They hold a License No. 38969 (TX). The NPI Number for DR. SOO CHEOL JEONG (D.D.S.) is 1154648079

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. SOO CHEOL JEONG (D.D.S.)
NPI
1154648079
Phone
(210) 450-3260
Address
8210 FLOYD CURL DR # 8112
Enumeration Date
2 May 2010
Last Update Date
23 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072842511
Graduation Year
1995 (31 years ago)
PAC ID
8325346729
Group Practice PAC ID
6507778255
Professional Enrollment ID
I20200515000075
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for DR. SOO CHEOL JEONG (D.D.S.)

  • 8210 FLOYD CURL DR # 8112

    SAN ANTONIO, TX 782293923

    Phone: (210) 450-3260

    Type: Mailing

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (612) 423-8545

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78229)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507778255View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. SOO CHEOL JEONG (D.D.S.)?
Save NPI 1154648079 if you need a stable reference for DR. SOO CHEOL JEONG (D.D.S.).
Is DR. SOO CHEOL JEONG (D.D.S.) active in the national directory?
DR. SOO CHEOL JEONG (D.D.S.)'s public NPI profile is in an active state.
What kind of provider is DR. SOO CHEOL JEONG (D.D.S.)?
The page reflects Prosthodontics for DR. SOO CHEOL JEONG (D.D.S.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. SOO CHEOL JEONG (D.D.S.)?
The snapshot lists San Antonio, Texas for DR. SOO CHEOL JEONG (D.D.S.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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