Individual provider · Type 1 NPI

Ilcheon Joo, D.D.S

Dentist · Pine Grove, PA

NPI number 1063530509 Active

Practice location

46 Mifflin St
Pine Grove, PA 17963-1318

Fax (570) 345-3161

Mailing address

6690 Hauser Rd, M101
Macungie, PA 18062-8102

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDS037775 (PA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1063530509

Ilcheon Joo, D.D.S's National Provider Identifier is 1063530509, issued on Mar 26, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Pine Grove, PA. The record was last updated on Dec 8, 2009.