DR. JAE SUNG ROH DDS
NPI 1790773117
Dentist - General Practice in Plainfield, IL

Q: What is Jae Roh's NPI number?

The NPI number for Jae Roh is 1790773117. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Q: What is Jae Roh's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jae Roh was last updated on March 13, 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.

Active since October 10, 2005

24047 W LOCKPORT ST STE 207, PLAINFIELD, IL 60544(815) 267-7878(815) 267-7979 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jae Sung Roh Dds NPPES

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

DR. JAE SUNG ROH DDS (NPI 1790773117) is an individual general practice provider in Plainfield, Illinois, licensed in Illinois (019026367) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1790773117

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JAE SUNG ROHCredential: DDS

Location Address24047 W LOCKPORT ST STE 207Plainfield, IL 60544-1683

Mailing Address24047 W Lockport St Ste 207Plainfield, IL 60544-1683 · (815) 267-7878 · Fax (815) 267-7979

Phone(815) 267-7878

Fax(815) 267-7979

Sole ProprietorNo

Enumeration DateOctober 10, 2005

Last NPPES UpdateMarch 13, 2024

NPPES CertifiedMarch 13, 2024

✔ NPI 1790773117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019026367

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.

24047 W LOCKPORT ST STE 207, Plainfield, IL 60544

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. INAH PARK DDS

Dentist (General Practice)

24047 W LOCKPORT ST STE 207
PLAINFIELD, IL 60544

Will County (815) 267-7878

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 Jae Roh's NPI number?

The NPI number for Jae Roh is 1790773117. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Jae Roh located?

Jae Roh practices at 24047 W Lockport St Ste 207, Plainfield, IL 60544. The listed phone number is (815) 267-7878.

What is Jae Roh's specialty?

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

What insurance does Jae Roh accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 5 other insurers list Jae Roh 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 Jae Roh was last updated on March 13, 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.