Individual provider · Type 1 NPI

Joonho Phiyo

General Practice Dentistry · Shreveport, LA

NPI number 1235721523 Active

Practice location

3719 Jewella Ave
Shreveport, LA 71109-4703

Call (318) 758-9123 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X7209 (LA)
General Practice Dentistry Primary 1223G0001X7209 (LA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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 1235721523

Joonho Phiyo's National Provider Identifier is 1235721523, issued on Feb 8, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Shreveport, LA. The record was last updated on Mar 13, 2026.