Dr Grant Jong, DMD - Medicare Dentist in Riverside, CA

Dr Grant Jong, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Riverside, California. His current practice location is 6180 Brockton Ave, Suite 201, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 684-5611.

Dr Grant Jong is licensed to practice in California (license number 42666) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255358172.

Contact Information

Dr Grant Jong, DMD
6180 Brockton Ave, Suite 201,
Riverside, CA 92506-2228
(951) 684-5611
(951) 684-0516



Healthcare Provider's Profile

Full NameDr Grant Jong
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location6180 Brockton Ave, Riverside, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255358172
  • Provider Enumeration Date: 07/16/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5496748006
  • Enrollment ID: I20150309001538

Medical Identifiers

Medical identifiers for Dr Grant Jong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255358172NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 42666 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Grant Jong is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Grant Jong, DMD
6180 Brockton Ave, Suite 201,
Riverside, CA 92506-2228

Ph: (951) 684-5611
Dr Grant Jong, DMD
6180 Brockton Ave, Suite 201,
Riverside, CA 92506-2228

Ph: (951) 684-5611

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