Individual provider · Type 1 NPI

Jae Ko, DDS

General Practice Dentistry · Chicago, IL

NPI number 1013106830 Active

Practice location

3434 W Peterson Ave, Suite 1D
Chicago, IL 60659-3319

Call (872) 208-7573 Map

Fax (872) 806-0113

Mailing address

2840 W Berwyn Ave
Chicago, IL 60625-3402

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019027485 (IL)

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.

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About NPI 1013106830

Jae Ko, DDS's National Provider Identifier is 1013106830, issued on Oct 17, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on May 2, 2015.