JAEYEON CHO


Address: 2260 Linda Ave Ste 103, Odessa, TX 79763-2665
Phone: 4323334867

JAEYEON CHO (NPI# 1508427311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508427311
Entity Type Individual
Full Name JAEYEON CHO
Credential DMD
Practice Address 2260 Linda Ave Ste 103
Odessa
TX 79763-2665
Mailing Address 7002 Four Sixes Ranch Rd
Odessa
TX 79765-2205
Practice Telephone 4323334867
Enumeration Date 2019-06-23
Last Update Date 2019-06-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
35304 TX Dental Providers

Office Location

Street Address 2260 LINDA AVE STE 103
City ODESSA
State TX
Zip Code 79763-2665

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629592217 Quyen Tran Dentist 2260 Linda Ave Ste 103, Odessa, TX 79763-2665 2017-07-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578164885 Mary Ewusie Pharmacist 2450 West Loop 3378, Odessa, TX 79763 2020-11-03
1982231569 Yashica Patel Student in an Organized Health Care Education/Training Program 701 W. 5th St, Suite 1229, Odessa, TX 79763 2020-03-24
1144740457 Devi Priya Suravajjala Student in an Organized Health Care Education/Training Program 701,w 5th Street, Odessa, TX 79763 2017-06-27
1649640392 Elesea Celeste Villegas Physician Assistant 701 West 5th Street, Odessa, TX 79763 2015-10-06
1790046472 Kathryn Nichole Hutton Obstetrics & Gynecology 701 W 5th Street, Odessa, TX 79763 2012-05-30
1962761791 Marvin Ryan Harvey Family Medicine 701 W 5th St Ste 3174, Odessa, TX 79763 2012-05-14
1245529544 Yvette Garcia Counselor 1012 W Macarthur, Odessa, TX 79763 2011-04-07
1386973873 Patty Denise Pena Pharmacist 1305 W County Rd, Odessa, TX 79763 2009-12-14
1508002262 Javier E Espinoza Physician Assistant 1220 W. University, Odessa, TX 79763 2008-12-31
1952584690 J A Mayans Md Pa Ophthalmology 907 W Second St, Odessa, TX 79763 2007-12-17
Find all providers in zip 79763

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427619238 Benjamin Bennett Waites Dentist 4901 E 42nd St Ste B, Odessa, TX 79762-7338 2019-06-23
1619443736 Abbeville Dentistry - Odessa East, Pllc Dentist 2499 E 11th St, Odessa, TX 79761-4232 2018-10-16
1124535885 Anisha Patel Dentist 6909 Arabian Rd, Odessa, FL 33556-1825 2018-01-03
1346759487 Andes Dental Pllc Dentist 1157 E 42nd St Ste A, Odessa, TX 79762-7723 2017-09-20
1629592217 Quyen Tran Dentist 2260 Linda Ave Ste 103, Odessa, TX 79763-2665 2017-07-26
1861920886 Constance Schreck Dentist 2631 Faudree Rd Ste B, Odessa, TX 79765-8530 2017-06-03
1295184927 Farqad Kamal Abuoudeh Dentist 6109 Tx-191 Frontage, Odessa, TX 79762 2016-06-03
1285011882 Precious Smiles Dentistry, PC Dentist 2713 N Grandview Ave, Odessa, TX 79762-6952 2015-05-04
1821494121 Robert Meek Dentist 7331 Eastridge Rd, Odessa, TX 79765-8903 2014-11-13
1548675861 Tina Desai Dentist 6109 Texas 191, Odessa, TX 79762 2014-06-25
Find all providers in ODESSA

Competitor

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City ODESSA
Zip Code 79763

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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