Jack B. Oh, DDS a Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42205 Issued in CA

Legal business name

JACK B. OH, DDS A PROFESSIONAL CORPORATION

Practice address

2705 S Diamond Bar Blvd Ste 288
Diamond Bar, CA 91765-3555

Phone

(909) 444-9400

Fax

(909) 444-3311

NPI assigned

Mar 12, 2008

Last updated

Apr 22, 2014By 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. Jack B Oh, DDSNPI 1609844505

Title

President

Phone

(909) 444-9400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jack B Oh, D.D.S.

  • General Practice Dentistry
  • Diamond Bar, CA
  • NPI 1609844505
  NPD (past) Authorized official

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1265603773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 S DIAMOND BAR BLVD STE 288",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653555",
            "telephone_number": "909-444-9400",
            "fax_number": "909-444-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 S DIAMOND BAR BLVD STE 288",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653555",
            "telephone_number": "909-444-9400",
            "fax_number": "909-444-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK B. OH, DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-444-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.