Heesoo Ko is a Pediatric Dentistry in Dededo, Guam. Heesoo Ko practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Heesoo Ko is 1639200934. The last update date is 2007-07-08.
Heesoo Ko's current location address is 655 Harmon Loop Rd Ste 108, Dededo, Guam. You can contact this provider via phone number 6716378334 and fax number 6716370611. The mailing address for Heesoo Ko is 655 Harmon Loop Rd Ste 108, Dededo, Guam. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heesoo Ko |
|---|---|
| Address | 655 Harmon Loop Rd Ste 108, Dededo, Guam |
| Phone Number | 6716378334 |
| Fax Number | 6716370611 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1639200934 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 655 Harmon Loop Rd Ste 108 |
|---|---|
| City | Dededo |
| State | Guam (GU) |
| Post Code | 969296544 |
| Phone Number | 6716378334 |
| Fax Number | 6716370611 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D962 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique 10-digit identification code issued to Heesoo Ko by the Centers for Medicare & Medicaid Services?
The Heesoo Ko has been assigned the NPI (National Provider Identifier) 1639200934 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Heesoo Ko is physically located?
The Heesoo Ko is physically situated at the following address: 655 Harmon Loop Rd Ste 108, Dededo, GU, 969296544.
What is Heesoo Ko's specialized field of practice, and what is the corresponding taxonomy classification code?
The Heesoo Ko's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services assign the 1639200934 to Heesoo Ko?
The Centers for Medicare & Medicaid Services assigned the 1639200934 to Heesoo Ko on 2007-03-08.
When was the information regarding Heesoo Ko most recently updated?
The details pertaining to the Heesoo Ko, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA