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Ilcheon Joo DDS PC

Dental Clinic/Center in Pine Grove, PA · enumerated 2010 · authorized official Ilcheon Joo, President/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699006452

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Registry record

Entity type Organization (Type 2)
Legal business name Ilcheon Joo DDS PC
Practice address 46 Mifflin St, Pine Grove, PA, 17963
Phone (570) 345-3495
Fax (570) 345-3161
Enumeration date Jan 19, 2010
Last updated in NPPES Jan 19, 2010

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities · License DS037775 (PA) Primary

Authorized official

Name Ilcheon Joo
Title President/Owner
Phone (570) 345-3495

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Ilcheon Joo DDS PC located?
The practice location on file with NPPES is in Pine Grove, PA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-01-19. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-01-19.