Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033295753 Individual Practitioner Male Practitioner

Dr. Philip Jeon , DDS

Dentist - General Practice • Decatur, GA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Philip Jeon, DDS is a registered healthcare professional specializing in Dentist - General Practice in Decatur, GA. Official NPI practice address is registered at 1756 CANDLER RD.

Practice Location & Contact Primary Location

Practice Address

1756 Candler Rd

Decatur, GA 300323277

Telephone 6789044252

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Decatur, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
81 Specialists

Practicing in Decatur, GA (3302 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 GA DN012865

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
250276271C (GA)
Medicaid State Provider ID
250276271H (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Prathyusha Vadlamani , DDS

Dentist - General Practice

NPI 1043691165

Doctor of Dental Surgery

William Martin

Dentist - General Practice

NPI 1518320829
John Marsh

Technician/Technologist - Optician

NPI 1548489156
NPI 1558385351

Doctor of Dental Surgery

Dr. Ariel Banks , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1649022138

Doctor of Dental Surgery

Dr. Anahita Javadpour , DMD

Dentist - General Practice

NPI 1902536980

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 05, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2016

Registered at 1756 CANDLER RD, DECATUR, GA 300323277 (Tel: 6789044252)

📍
Updated Business Mailing Address August 05, 2016

Registered at 1432 PACES COMMONS DR, DULUTH, GA 300961725 (Tel: 6785570500)

👤
Provider Name / Credentials Updated August 05, 2016

Recorded as PHILIP JEON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2016

Dentist (License #DN012865 in GA)

🟢
Initial NPI Registration & Enumeration October 27, 2006

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: 1033295753
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2006
Last Update: August 05, 2016
Sole Proprietor: No

Mailing Address

1432 Paces Commons Dr

Duluth, GA 300961725

Phone: 6785570500

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.