Phillip Sung W Cho Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PHILLIP SUNG W CHO DENTAL CORP

Practice address

56969 Yucca TRL Ste C
Yucca Valley, CA 92284-3797

Phone

(760) 228-1733

Fax

(760) 365-9123

NPI assigned

Sep 7, 2021

Last updated

Sep 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Phillip Sungwoon Cho, DDSNPI 1114111820

Title

President

Phone

(909) 557-0912

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phillip Sungwoon Cho, D.D.S.

  • General Practice Dentistry
  • Yucca Valley, CA
  • NPI 1114111820
  NPD Authorized official
• Mi Da Lee

  • Dentist
  • Yucca Valley, CA
  • NPI 1417622457
  NPD
• Chang Hyun Lee, DDS

  • General Practice Dentistry
  • Yucca Valley, CA
  • NPI 1306766266
  NPD (past)

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1245909001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56969 YUCCA TRL STE C",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843797",
            "telephone_number": "760-228-1733",
            "fax_number": "760-365-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56969 YUCCA TRL STE C",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843797",
            "telephone_number": "760-228-1733",
            "fax_number": "760-365-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP SUNG W CHO DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "SUNGWOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-557-0912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandip Patel, PHARM D (PHARMACIST)
• Rashell Rene Patten
• Frank Allen Paul, D.O.
• Barton Milo Pedersen, O.D.
• Karen Louise Perry, LMFT
• Melissa S. Pierce
• Lena Cristina Pollerana
• Francesca Porcher
• Britney Breanne Pos, R.D.H.
• Jeffrey Allan Proff

• Dental Clinic/Center in Yucca Valley, CA
• Providers in Yucca Valley, 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 Sep 7, 2021; 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.