Byung Joo, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS036265 Issued in PA

Practice address

400 Nationwide Dr
Harrisburg, PA 17110-9752

Phone

(717) 657-4400

NPI assigned

Jan 10, 2006

Last updated

Oct 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Miller Oral Surgery, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Harrisburg, PA
  • NPI 1164495149
  NPD (past)

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1912986720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NATIONWIDE DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NATIONWIDE DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109752",
            "telephone_number": "717-657-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOO",
        "first_name": "BYUNG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS036265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon L Jones, CRNP
• Stephanie Elizabeth Jones, PT, DPT
• Tatyana Jones
• Tonami Kavata Jones, B.S.
• Twyla Jones
• Torey Jordan
• William Jordan
• Dhanya Ann Jose, DO
• Joseph P. Cardinale, D.O., P.C.
• Alyssa Raye Joseph, RD, LDN

• Oral and Maxillofacial Surgery (Dentist) in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.