Individual provider · Type 1 NPI

Jae Yeon Choi

General Practice Dentistry · Minneapolis, MN

NPI number 1083358345 Active

Practice location

515 Delaware St SE
Minneapolis, MN 55455-0357

Call (612) 625-2495 Map

Mailing address

104 N Plum Grove Rd Apt 400
Palatine, IL 60067-5279

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019.034481 (IL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XR917 (MN)

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 1083358345

Jae Yeon Choi's National Provider Identifier is 1083358345, issued on Apr 22, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 20, 2026.