Philip D. Jo, D.D.S. Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

48472 Issued in CA

Legal business name

PHILIP D. JO, D.D.S. INC.

Practice address

2 Osborn St
Ste 130
Irvine, CA 92604-8656

Phone

(949) 748-3636

Fax

(949) 748-3638

NPI assigned

Dec 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Philip Dae-Hyun Jo, D.D.S.

Title

President/Owner

Phone

(909) 435-9471

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1093877672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OSBORN ST",
            "address_2": "STE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926048656",
            "telephone_number": "949-748-3636",
            "fax_number": "949-748-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OSBORN ST",
            "address_2": "STE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926048656",
            "telephone_number": "949-748-3636",
            "fax_number": "949-748-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP D. JO, D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "JO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "DAE-HYUN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "909-435-9471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "48472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Drew A Philip, DNP, APRN, FNP-C
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• Ava Desiree Phillips
• Gary Benjamin Phillips, D.D.S.
• Joseph James Phillips

• Dental Clinic/Center in Irvine, CA
• Providers in Irvine, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.