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

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

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: July 19, 2026.

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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

Phone(671) 637-8334

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

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