ILCHEON JOO DDS PC
NPI 1699006452
Clinic/Center - Dental in Pine Grove, PA

Active since January 19, 2010
46 MIFFLIN ST, PINE GROVE, PA 17963(570) 345-3495(570) 345-3161 Get Directions Write a Review

NPPES record last updated: January 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ilcheon Joo Dds Pc NPPES

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

ILCHEON JOO DDS PC (NPI 1699006452) is a healthcare organization registered as a dental in Pine Grove, Pennsylvania and active in the NPI registry since January 2010. The organization lists Ilcheon Joo, President/owner, as its authorized official.

NPPES Registry Identity

NPI1699006452
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameILCHEON JOO DDS PC
Location Address46 MIFFLIN STPine Grove, PA 17963-1318
Mailing Address46 Mifflin StPine Grove, PA 17963-1318 · (570) 345-3495 · Fax (570) 345-3161
Fax(570) 345-3161
Organization SubpartNo
Authorized OfficialIlcheon JooPresident/owner · (570) 345-3495
Enumeration DateJanuary 19, 2010
NPI 1699006452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in PA · DS037775
46 MIFFLIN ST, Pine Grove, PA 17963

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist
46 MIFFLIN ST
PINE GROVE, PA 17963
Clinic/Center (Dental)
46 MIFFLIN ST
PINE GROVE, PA 17963
Dentist (General Practice)
46 MIFFLIN ST
PINE GROVE, PA 17963

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 Ilcheon Joo Dds PC's NPI number?

The NPI number for Ilcheon Joo Dds PC is 1699006452. It was assigned to this organization in the NPPES registry on January 19, 2010.

Where is Ilcheon Joo Dds PC located?

Ilcheon Joo Dds PC is located at 46 Mifflin St, Pine Grove, PA 17963. The listed phone number is (570) 345-3495.

What is Ilcheon Joo Dds PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Ilcheon Joo Dds PC accept?

Health plans from UnitedHealthcare list Ilcheon Joo Dds PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ilcheon Joo Dds PC was last updated on January 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.