Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1245414986
Chison Judy JeonDDS
Active
NPI Number1245414986
NPI TypeNPI-1 Individual
SpecialtyDentist, General Practice
Provider Details
NPI1245414986
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2007-12-18
Last Updated2016-02-11
Mailing Address1215 Annapolis Rd, Ste 201
Odenton, MD 21113-1349
United States
Phone: (410) 674-7400
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Primary Practice Address535 Main St, 113
Laurel, MD 20707-4335
United States
Phone: (301) 490-0044
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes1223G0001X – Dentist, General PracticeMD14176
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About NPI 1245414986

Chison Judy Jeon DDS is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1245414986. The primary specialty listed is Dentist, General Practice. The provider is located in Laurel, MD. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-12-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1245414986?

NPI 1245414986 belongs to Chison Judy Jeon DDS, a Dentist, General Practice in Laurel, MD. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1245414986 active?

The current status of NPI 1245414986 in the NPPES registry is Active. The record was last updated on 2016-02-11.

What specialty is NPI 1245414986?

NPI 1245414986 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1245414986?

You can verify NPI 1245414986 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1245414986?

The primary practice address on file for NPI 1245414986 is 535 Main St, Laurel, MD 20707-4335. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1245414986 issued?

NPI 1245414986 was first issued (enumerated) on 2007-12-18. The NPPES record was last updated on 2016-02-11.

Practice Location Map

Chison Judy Jeon is located at 535 Main St, Laurel, MD. Use the map below to find directions or verify the practice location.

📍 535 Main St, Laurel, MD 20707-4335  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Chison Judy Jeon. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1245414986. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Dentist, General Practice14176MD
Data Verified from CMS NPPES Last synced: 2026-07-24 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162