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JAESUK YOO
NPI 1225010549
Dentist - General Practice in Jb Andrews, MD

Active since November 14, 2005
1065 W. PERIMETER RD, 316 DS, JB ANDREWS, MD 20762(402) 612-2544 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jaesuk Yoo NPPES

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

JAESUK YOO (NPI 1225010549) is an individual general practice provider in Jb Andrews, Maryland, licensed in Pennsylvania (DS036246) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1225010549
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJAESUK YOO
Location Address1065 W. PERIMETER RD, 316 DSJb Andrews, MD 20762
Mailing Address3722 Ridgelea DrFairfax, VA 22031-3231 · (253) 455-8656
Phone(402) 612-2544
Sole ProprietorNo
Enumeration DateNovember 14, 2005
Last NPPES UpdateFebruary 18, 2025
NPPES CertifiedFebruary 13, 2025
✔ NPI 1225010549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS036246
Definition

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.

1065 W. PERIMETER RD, Jb Andrews, MD 20762
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Reviews for JAESUK YOO

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Frequently Asked Questions

What is Jaesuk Yoo's NPI number?

The NPI number assigned to this healthcare provider is 1225010549, enumerated as an "individual" on November 14, 2005.

Where is the provider located?

The provider is located at 1065 W. PERIMETER RD 316 DS JB ANDREWS, MD 20762 and the phone number is (402) 612-2544.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.