Individual provider · Type 1 NPI

Hana Vivian Jeong, DMD

Dentist · Poplar Bluff, MO

NPI number 1083303994 Active

Practice location

1407 N Westwood Blvd
Poplar Bluff, MO 63901-3315

Call (573) 778-3042 Map

Fax (573) 778-9432

Mailing address

110 S 2nd St
Ellington, MO 63638-9400

Other practice locations

  • 315 W Mulberry Ste B, Pilot Knob, MO 63663-7883 · (573) 546-1001
  • 1 Hals Plz Ste B, Piedmont, MO 63957-1631 · (573) 223-8902
  • 115 W Walnut St, Ellington, MO 63638-9300 · (573) 663-3177
  • 109 Plum St Ste D, Doniphan, MO 63935-1225 · (573) 351-2041

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2026023587 (MO)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1083303994

Hana Vivian Jeong, DMD's National Provider Identifier is 1083303994, issued on May 5, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Oct 19, 2026.