Provider Demographics
NPI:1588358279
Name:BSJS PLLC
Entity type:Organization
Organization Name:BSJS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEONG YOON
Authorized Official - Middle Name:
Authorized Official - Last Name:JEON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-687-8469
Mailing Address - Street 1:3616 FIELD STONE DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-2788
Mailing Address - Country:US
Mailing Address - Phone:214-687-8469
Mailing Address - Fax:430-223-6537
Practice Address - Street 1:2425 FM 544 BLDG. 2
Practice Address - Street 2:300
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75056
Practice Address - Country:US
Practice Address - Phone:972-502-9271
Practice Address - Fax:430-223-6537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty