Individual provider · Type 1 NPI
Jason R. Gong, DDS
General Practice Dentistry · Palos Verdes Estates, CA
NPI number
1740773423
Active
Practice location
2325 Palos Verdes Dr W Ste 210
Palos Verdes Estates, CA 90274-2787
Fax (310) 377-3838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 104405 (CA) |
General Practice Dentistry: 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.
Another provider at this address
Other general practice dentistry providers in Palos Verdes Estates
About NPI 1740773423
Jason R. Gong, DDS's National Provider Identifier is 1740773423, issued on Jun 7, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Palos Verdes Estates, CA. The record was last updated on Sep 24, 2026.