DR. ILCHEON JOO D.D.S
NPI 1063530509
Dentist in Pine Grove, PA

Active since March 26, 2007
46 MIFFLIN ST, PINE GROVE, PA 17963(570) 345-3495(570) 345-3161 Get Directions Write a Review

NPPES record last updated: December 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ilcheon Joo D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ILCHEON JOO D.D.S (NPI 1063530509) is an individual dentist in Pine Grove, Pennsylvania, licensed in Pennsylvania (DS037775) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1063530509
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ILCHEON JOOCredential: D.D.S
Location Address46 MIFFLIN STPine Grove, PA 17963-1318
Mailing Address6690 Hauser Rd, M101Macungie, PA 18062-8102
Fax(570) 345-3161
Sole ProprietorYes
Enumeration DateMarch 26, 2007
Last NPPES UpdateDecember 8, 2009
NPI 1063530509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in PA · DS037775
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
46 MIFFLIN ST, Pine Grove, PA 17963

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
46 MIFFLIN ST
PINE GROVE, PA 17963
Clinic/Center (Dental)
46 MIFFLIN ST
PINE GROVE, PA 17963
Dentist (General Practice)
46 MIFFLIN ST
PINE GROVE, PA 17963

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ilcheon Joo's NPI number?

The NPI number for Ilcheon Joo is 1063530509. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Ilcheon Joo located?

Ilcheon Joo practices at 46 Mifflin St, Pine Grove, PA 17963. The listed phone number is (570) 345-3495.

What is Ilcheon Joo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Ilcheon Joo accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Ilcheon Joo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ilcheon Joo was last updated on December 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.