Jean Woo, DDS, P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN10017 Issued in FL

Legal business name

JEAN WOO, DDS, P.A.

Practice address

136 Staff Dr NE # B
Fort Walton Beach, FL 32548-5062

Phone

(850) 243-7177

Fax

(850) 243-4929

NPI assigned

Jan 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jean Woo, D.D.S.

Title

President

Phone

(850) 243-7177

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871659987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 STAFF DR NE # B",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485062",
            "telephone_number": "850-243-7177",
            "fax_number": "850-243-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 STAFF DR NE # B",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485062",
            "telephone_number": "850-243-7177",
            "fax_number": "850-243-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN WOO, DDS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOO",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-243-7177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN10017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Janak
• Jane a Pratt Dba New Beginnings
• Jason W Thackeray MD PA
• Miranda Jatindranath, PT, DPT
• Shantel Jay-Peterson, ITDS
• Jennifer R Goette OD PA
• Jeremiah D. Patrick, D.M.D., P.a.
• Devon N Jernigan, PT, DPT
• Carl S Jerome, D.C.
• Jerzy Grzebieluch, MD, LLC

• Dental Clinic/Center in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.