Provider Demographics
NPI:1609402031
Name:TON, JESSICA BICHVAN (DDS)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:BICHVAN
Last Name:TON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14110 WOODHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95127-3252
Mailing Address - Country:US
Mailing Address - Phone:408-306-8573
Mailing Address - Fax:
Practice Address - Street 1:3050 CITRUS CIR STE 110
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2628
Practice Address - Country:US
Practice Address - Phone:925-938-2392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-17
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1063301223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry