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DR. JUN KYUNG KO DMD, ABGD
NPI 1295221455
Dentist - General Practice in Edwards Afb, CA

Active since July 10, 2018
412 MDG 30 NIGHTINGALE ROAD, EDWARDS AFB, CA 93524(661) 277-2872 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jul 25, 2024, May 31, 2019, Jul 25, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Jun Kyung Ko Dmd, Abgd NPPES

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

DR. JUN KYUNG KO DMD, ABGD (NPI 1295221455) is an individual general practice provider in Edwards Afb, California, licensed in Arizona (D010087) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1295221455
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JUN KYUNG KOCredential: DMD, ABGD
Location Address412 MDG 30 NIGHTINGALE ROADEdwards Afb, CA 93524-5071
Mailing Address412 Mdg 30 Nightingale RoadEdwards Afb, CA 93524-0001
Phone(661) 277-2872
Sole ProprietorNo
Enumeration DateJuly 10, 2018
Last NPPES UpdateJuly 25, 20244 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1295221455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · D010087
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.
412 MDG 30 NIGHTINGALE ROAD, Edwards Afb, CA 93524
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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 Jun Kyung Ko's NPI number?

The NPI number for Jun Kyung Ko is 1295221455. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Where is Jun Kyung Ko located?

Jun Kyung Ko practices at 412 Mdg 30 Nightingale Road, Edwards Afb, CA 93524. The listed phone number is (661) 277-2872.

What is Jun Kyung Ko's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jun Kyung Ko was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.