DR. HARRISON HOSUNG JO DMD
NPI 1225300163
Dentist in White Plains, MD

Active since February 08, 2012PECOS Enrolled
10665 STANHAVEN PL # 104, WHITE PLAINS, MD 20695(301) 632-5480 Get Directions Write a Review

NPPES record last updated: February 20, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Harrison Hosung Jo Dmd NPPES

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

DR. HARRISON HOSUNG JO DMD (NPI 1225300163) is an individual dentist in White Plains, Maryland, licensed in Maryland (15371) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225300163
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. HARRISON HOSUNG JOCredential: DMD
Location Address10665 STANHAVEN PL # 104White Plains, MD 20695-3055
Mailing Address10665 Stanhaven Pl # 104White Plains, MD 20695-3055 · (301) 632-5480
Sole ProprietorYes
Enumeration DateFebruary 8, 2012
Last NPPES UpdateFebruary 20, 2015
NPI 1225300163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in MD · 15371 Licensed in PA · DS038324
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.

10665 STANHAVEN PL # 104, White Plains, MD 20695

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Harrison Hosung Jo Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20695 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225300163, enumerated as an "individual" on February 08, 2012.

The provider is located at 10665 STANHAVEN PL # 104 WHITE PLAINS, MD 20695 and the phone number is (301) 632-5480.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.