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Deactivated NPI 1578616181 Deactivated / Inactive NPI Male Practitioner

Dr. Peter Jeong , DDS

Dentist - General Practice • Milpitas, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Jeong has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 18, 2007
NPI Deactivation Date February 18, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Peter Jeong, DDS was a registered Dentist - General Practice practicing in Milpitas, CA. Throughout an active medical career spanning 15 years, Dr. Jeong provided care at the practice location at 75 S MILPITAS BLVD STE 212 until profile deactivation on 2022-02-18.

Practice Location & Contact Primary Location

Practice Address

75 S Milpitas Blvd Ste 212

Milpitas, CA 950355467

Telephone 4082632828

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Milpitas, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
82 Specialists

Practicing in Milpitas, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 45883

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 18, 2022

Record deactivated on February 18, 2022

NPI Profile Active July 11, 2008

NPI status registered as active in NPPES database

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Updated Practice Location July 11, 2008

Registered at 75 S MILPITAS BLVD STE 212, MILPITAS, CA 950355467 (Tel: 4082632828)

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Updated Business Mailing Address July 11, 2008

Registered at 75 S MILPITAS BLVD STE 212, MILPITAS, CA 950355467 (Tel: 4082632828)

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Provider Name / Credentials Updated July 11, 2008

Recorded as PETER JEONG, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2008

Dentist (License #45883 in CA)

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Initial NPI Registration & Enumeration January 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578616181
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2007
Last Update: July 11, 2008
Deactivation Date: February 18, 2022

Mailing Address

75 S Milpitas Blvd Ste 212

Milpitas, CA 950355467

Phone: 4082632828

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.