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JENNIE KOO DDS
NPI 1356188973
Dentist in San Jose, CA

Active since July 11, 2024
1207 WESTBURY DR, SAN JOSE, CA 95131(415) 819-9755 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennie Koo Dds NPPES

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

JENNIE KOO DDS (NPI 1356188973) is an individual dentist in San Jose, California, licensed in California (55079) and active in the NPI registry since July 2024. She maintains a secondary practice location in Cupertino.

NPPES Registry Identity

NPI1356188973
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJENNIE KOOCredential: DDS
Location Address1207 WESTBURY DRSan Jose, CA 95131-1584
Mailing Address1207 Westbury DrSan Jose, CA 95131-1584 · (415) 819-9755
Phone(415) 819-9755
Sole ProprietorNo
Enumeration DateJuly 11, 2024
NPPES CertifiedJuly 11, 2024
✔ NPI 1356188973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 55079
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.
1207 WESTBURY DR, San Jose, CA 95131
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Secondary Practice Location 1

Location 110430 S De Anza Blvd Ste 185Cupertino, CA 95014-3006 · Phone (408) 996-3191

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 Jennie Koo's NPI number?

The NPI number for Jennie Koo is 1356188973. It was assigned to this individual provider in the NPPES registry on July 11, 2024.

Where is Jennie Koo located?

Jennie Koo practices at 1207 Westbury Dr, San Jose, CA 95131. The listed phone number is (415) 819-9755.

What is Jennie Koo's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennie Koo was last updated on July 11, 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.