Doctor profile · Federal record
Dr. Kyoungsoo Jeon
Dentist · Dentist · Student in an Organized Health Care Education/Training Program · Dunkirk, NY
- NPI 1245728104
- 8 yrs on file
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
10765 Bennett RD
Dunkirk, NY 140483567
(716) 366-6822 - Additional location
-
625 Elmwood Ave # 683
Rochester, NY 146202913
(585) 275-8315
Credentials & registration
- NPI registered
- April 2018 — 8 yrs on file
- Profile last updated
- October 15, 2024
- Specialty taxonomy
- 122300000X — NUCC code
- State licenses (2)
- New York #062608 · Ohio #30.025666
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1245728104. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$394
Transactions
4
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultradent Products Inc | 4 | $394.46 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
63
Patients
59
Total drug cost
$299
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 48 | 45 | $189 |
| Clindamycin Hcl | Generic | 15 | 14 | $110 |
Frequently asked questions
What is Dr. Kyoungsoo Jeon's medical specialty?
Dr. Kyoungsoo Jeon practices Dentist in Dunkirk, NY.
Where does Dr. Kyoungsoo Jeon practice?
Dr. Kyoungsoo Jeon practices at 10765 Bennett RD, Dunkirk, NY 140483567. Office phone: 7163666822.
What is Dr. Kyoungsoo Jeon's NPI?
Dr. Kyoungsoo Jeon's National Provider Identifier (NPI) is 1245728104, issued by NPPES.