Jeso Advanced Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036147 Issued in PA

Legal business name

JESO ADVANCED FAMILY DENTISTRY

Practice address

233 McClellan St
Suite a
Philadelphia, PA 19148-1918

Phone

(215) 755-6626

Fax

(215) 467-7151

NPI assigned

Feb 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Esochi Joan Iheoma, D.D.S

Title

Dentist

Phone

(215) 755-6626

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1952449555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 MCCLELLAN ST",
            "address_2": "SUITE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481918",
            "telephone_number": "215-755-6626",
            "fax_number": "215-467-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MCCLELLAN ST",
            "address_2": "SUITE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481918",
            "telephone_number": "215-755-6626",
            "fax_number": "215-467-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESO ADVANCED FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "IHEOMA",
        "authorized_official_first_name": "ESOCHI",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-755-6626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Jerusik, D.O.
• Sara E Jeruss, M. ED. C. PSYCH.
• Amanda Jervis, MS
• Janel Jesberger, PA-C
• Kiera Brinn Jeschke, OD
• Hussain Jessani, MD
• Jesse J. Suh, Psy.D. LLC
• Jesse Willard Woods III (JWWIII Medical Brokerage Services)
• Jessica Begans LCSW LLC
• Jessica Pavelka Counseling, LLC

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.