Jinwoo Choi, DDS

Individual provider Active NPI General Practice Dentistry · Dillwyn, VA

NPI 1093009052 · NPPES record last updated Jun 7, 2011

Key facts

NPI
1093009052
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
0401413201 (VA)
Practice address
15320 N James Madison Hwy
Dillwyn, VA 23936-2845
Phone
(434) 983-2600
Fax
(434) 983-4806
NPI assigned
Jun 7, 2011
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0401413201VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Walter E Saxon Jr DDS PC General Practice Past Accepting new patients
Michael W. Chang, DDS, PLLC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401413201 VA Yes

Addresses

Primary practice location

15320 N James Madison Hwy
Dillwyn, VA 23936-2845

Mailing address

15320 N James Madison Hwy
P.O. Box 270
Dillwyn, VA 23936-2845
Phone (434) 983-2600

Other providers in Dillwyn, VA

All providers in Dillwyn, VA · General Practice Dentistry in Virginia

Sources for this page

Verify at the official NPI Registry.