JASON JAISUNG CHO (NPI# 1912319302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912319302 |
| Entity Type | Individual |
| Full Name | JASON JAISUNG CHO |
| Credential | DDS, MD |
| Practice Address |
407 S Kentucky Ave Lakeland FL 33801-5301 |
| Practice Telephone | 8636881537 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2020-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN24940 | FL | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2611 Se 17th St Ste A, Ocala, FL 344715587 | 3525096500 | |
| 3471 5th Ave Ste 1112, Pittsburgh, PA 152133221 | 4126486801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746858 | Jason Hyunjin Cho | Physician Assistant | 101 Susan Constant Ct, East Norriton, PA 19401-1855 | 2020-10-07 |
| 1861759482 | Jason Yebin Cho | Psychiatry & Neurology | 4861 Eastwick Dr, Toledo, OH 43614-1814 | 2012-04-19 |
| 1487818787 | Jason C. Cho | Dentist | 250 E Yale Loop Ste 203, Irvine, CA 92604-4697 | 2008-07-15 |
| 1871589374 | Jason J Cho | Pediatrics | 3459 Neely Rd, Mcguire Afb, NJ 08841 | 2005-09-21 |
| Street Address |
407 S KENTUCKY AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33801-5301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710093604 | Lawrence Kerwin Cook | Dentist | 407 S Kentucky Ave, Lakeland, FL 33801 | 2006-08-22 |
| 1073143731 | Swan Oral & Facial Surgery, LLC | Clinic/Center | 407 S Kentucky Ave, Lakeland, FL 33801-5301 | 2020-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 1932719242 | Jimia Watkins | Home Health Aide | 2410 Lakeview St, Lakeland, FL 33801 | 2020-08-03 |
| 1396366886 | Erin Zimmer | Health Educator | 491 Lake Parker Ave, Lakeland, FL 33801 | 2020-05-06 |
| 1013473206 | Madelyn Claire Burley | Occupational Therapist | 1215 East Orange Street, Lakeland, FL 33801 | 2019-02-13 |
| 1992260319 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1617 Us Highway 98 S, Lakeland, FL 33801 | 2019-02-11 |
| 1669908836 | Integrative Physical Medicine of Lakeland LLC | Specialist | 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 | 2017-05-10 |
| 1689111502 | Daryl Dowding | Counselor | 390 Alcaia Rd., Lakeland, FL 33801 | 2017-01-30 |
| 1023481926 | Joseph D'alessandro | Specialist/Technologist | 111 Lake Hollingsworth Dr Box 4334, Lakeland, FL 33801 | 2015-11-02 |
| 1588030894 | Donna Lee Buckner | Specialist/Technologist | 111 Mosswood Road, Lakeland, FL 33801 | 2015-08-20 |
| 1144635780 | Donna Paige Mccraney | Nurse Practitioner | 111 Lake Hollingsworth Drive, Florida Southern College Student Health Center, Lakeland, FL 33801 | 2014-06-23 |
| Find all providers in zip 33801 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629497367 | Danielle Williams | Dentist | 3436 S Florida Ave Ste 100, Lakeland, FL 33803-4765 | 2014-04-09 |
| 1700117520 | Clifford Madison Linkous | Dentist | 119 Kerneywood St, Lakeland, FL 33803-2945 | 2010-01-18 |
| 1710093604 | Lawrence Kerwin Cook | Dentist | 407 S Kentucky Ave, Lakeland, FL 33801 | 2006-08-22 |
| 1619990173 | Edward Joseph Meszaros | Dentist | 1736 E Edgewood Dr, Lakeland, FL 33803-3412 | 2006-07-25 |
| 1881969053 | S. Matthew Schacht Dds, Pa | Dentist | 4744 S Florida Ave, Lakeland, FL 33813-2181 | 2012-03-20 |
| 1861695462 | Stephen Matthew Schacht | Dentist | 4744 S Florida Ave, Lakeland, FL 33813-2181 | 2007-06-09 |
| 1346309747 | David Kirkpatrick | Dentist | 2150 Harden Blvd, Lakeland, FL 33803-5917 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862786 | Mikhail Daya Dmd Pa | Dentist | 500 Knights Run Ave Unit 1714, Tampa, FL 33602-6017 | 2020-05-08 |
| 1578114443 | South Florida Jaw and Facial Surgery-dental Implants Center Pa | Dentist | 7600 S Red Rd Ste 101, South Miami, FL 33143-5429 | 2019-09-23 |
| 1437703535 | Ambiance Surgical Arts Center | Dentist | 8501 Sw 124th Ave Ste 208, Miami, FL 33183-4633 | 2019-07-26 |
| 1053979997 | Anand R Patel | Dentist | 1395 Center Dr # D1-56a, Gainesville, FL 32610-3006 | 2019-06-05 |
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1952871030 | Harvey Mossak Oral & Maxillofacial Surgery, Pllc | Dentist | 1211 E Kennedy Blvd Unit 223, Tampa, FL 33602-3559 | 2018-11-30 |
| 1093283582 | Keith H. Kaner, Dds, Pa | Dentist | 9250 Glades Rd Ste 207, Boca Raton, FL 33434-3958 | 2018-11-02 |
| 1750858015 | Hebah Omar Aljuhani | Dentist | 253 Ne 2nd St Apt 613, Miami, FL 33132-2289 | 2018-10-25 |
| 1972089431 | Plantation Dental and Anesthesia Associates | Dentist | 300 Nw 70th Ave Ste 104, Plantation, FL 33317-2360 | 2018-07-17 |
| 1871079921 | Paul Amailuk | Dentist | 9333 Sw 152nd Street, Oral and Maxillofacial Surgery Department, Miami, FL 33157 | 2018-07-12 |
| Find all providers with the same taxonomy | ||||
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| 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.