DR. HEESOO KO DMD
NPI 1639200934
Dentist - Pediatric Dentistry in Dededo, GU

Active since March 08, 2007
655 HARMON LOOP RD STE 108, DEDEDO, GU 96929(671) 637-8334(671) 637-0611 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Heesoo Ko Dmd NPPES

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

DR. HEESOO KO DMD (NPI 1639200934) is an individual pediatric dentistry provider in Dededo, Guam, licensed in Guam (D962) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1639200934
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. HEESOO KOCredential: DMD
Location Address655 HARMON LOOP RD STE 108Dededo, GU 96929-6544
Mailing Address655 Harmon Loop Rd Ste 108Dededo, GU 96929-6544 · (671) 637-8334 · Fax (671) 637-0611
Fax(671) 637-0611
Sole ProprietorNo
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1639200934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in GU · D962
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
655 HARMON LOOP RD STE 108, Dededo, GU 96929

Other Providers at the Same Location NPPES 13

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

Pharmacist
655 HARMON LOOP RD STE 108
DEDEDO, GU 96929
Social Worker (Clinical)
655 HARMON LOOP RD STE 108
DEDEDO, GU 96929
Pharmacy
655 HARMON LOOP RD STE 108
DEDEDO, GU 96929
Hospitalist
655 HARMON LOOP RD STE 108
DEDEDO, GU 96929
Family Medicine
655 HARMON LOOP RD STE 108
DEDEDO, GU 96929
Nurse Practitioner
655 HARMON LOOP RD STE 108
DEDEDO, GU 96929
Pharmacist
655 HARMON LOOP RD STE 108
DEDEDO, GU 96929
Family Medicine (Sports Medicine)
655 HARMON LOOP RD STE 108
DEDEDO, GU 96929

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 Heesoo Ko's NPI number?

The NPI number for Heesoo Ko is 1639200934. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Heesoo Ko located?

Heesoo Ko practices at 655 Harmon Loop Rd Ste 108, Dededo, GU 96929. The listed phone number is (671) 637-8334.

What is Heesoo Ko's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Heesoo Ko was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.