Jina K. Yoo, DMD, Ms, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8634 Issued in NC

Legal business name

JINA K. YOO, DMD, MS, PC

Doing business as

Mebane Pediatric Dentistry

Practice address

1107 S Fifth St
Suite 100
Mebane, NC 27302-9597

Phone

(919) 332-2840

NPI assigned

Jan 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jina Kang Yoo, D.M.D, M.S.

Title

Ceo and Pediatric Dentist

Phone

(919) 568-0103

Specialties & licenses 1

Addresses

Other names 1

• Mebane Pediatric Dentistry Doing business as

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1780072181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 S FIFTH ST",
            "address_2": "SUITE 100",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029597",
            "telephone_number": "919-568-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S FIFTH ST",
            "address_2": "SUITE 100",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029597",
            "telephone_number": "919-332-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JINA K. YOO, DMD, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "JINA",
        "authorized_official_middle_name": "KANG",
        "authorized_official_title_or_position": "CEO AND PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "919-568-0103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D, M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "8634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mebane Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• In Home Physical Therapy and Wellness of Mebane LLC
• Integrative Family Dentistry
• Lynnae Jennings
• Jessica Jeremiah, MSW, LCSW, LCAS
• Savannah Marie Jernigan-Gee, LCMHCA
• Shrease H. Johnson Thomas
• Marquetta Johnson, LICENSED PRACTICAL N
• Deanna Craven Jones
• Kimberly Katherine Jordan
• Jessnie Jose-Mathews, MD

• Pediatric Dentistry in Mebane, NC
• Providers in Mebane, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.