DR. JENNIFER HOJEONG AHN (NPI# 1942513817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942513817 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER HOJEONG AHN |
| Credential | DMD |
| Practice Address |
1403 W Glen Ave Peoria IL 61614-4705 |
| Mailing Address |
465 Prestwick Ln Wheeling IL 60090-6229 |
| Practice Telephone | 2243929436 |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019.028392 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972673879 | Jennifer Ahn | Obstetrics & Gynecology | 12264 El Camino Real Ste 204, San Diego, CA 92130-3061 | 2006-11-08 |
| 1891257770 | Jennifer Ahn | Student in an Organized Health Care Education/Training Program | 200 Lothrop St Ste 933w, Pittsburgh, PA 15213-2536 | 2019-04-01 |
| 1053769018 | Jennifer Ahn | Student in an Organized Health Care Education/Training Program | 550 First Avenue, Nyu Langone Medical Center, New York, NY 10016 | 2016-06-01 |
| 1780056184 | Jennifer Chengyu Ahn | Pharmacist | 222 W Carrillo St, Santa Barbara, CA 93101-6163 | 2015-10-24 |
| 1144637067 | Jennifer Ahn | Registered Nurse | 1530 S Olive St, Los Angeles, CA 90015-3023 | 2014-07-14 |
| 1073937488 | Jennifer Dahae Ahn | Dentist | 2201 Taylor Rd, Montgomery, AL 36117-3498 | 2014-02-06 |
| 1609129477 | Jennifer Jane Ahn | Nurse Anesthetist, Certified Registered | 310 E 14th St, New York Eye & Ear Infirmary, New York, NY 10003-4201 | 2012-10-18 |
| 1972853141 | Jennifer Ku Ahn | Psychologist | 2121 W Temple St, Los Angeles, CA 90026-4915 | 2012-09-14 |
| 1548536055 | Jennifer Ahn | Student in an Organized Health Care Education/Training Program | 4150 V St # 1110, Sacramento, CA 95817-1460 | 2012-03-29 |
| 1184998148 | Jennifer Young Ahn | Pharmacist | 12350 Carmel Mountain Rd, San Diego, CA 92128-4616 | 2012-03-08 |
| Street Address |
1403 W GLEN AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-4705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011080 | Nidhi Priya | Dentist | 1403 W Glen Ave, Peoria, IL 61614-4705 | 2020-07-24 |
| 1437677846 | Jyothi Deena Dayalu Naidu | Dentist | 1403 W Glen Ave, Peoria, IL 61614-4705 | 2017-09-06 |
| 1386161248 | Charlotte Sunaina Jakkula | Dentist | 1403 W Glen Ave, Peoria, IL 61614-4705 | 2017-08-23 |
| 1861915506 | Yoosuk Ko | Dentist | 1403 W Glen Ave, Peoria, IL 61614-4705 | 2017-07-25 |
| 1104347343 | Yashodhan Ghodke | Dentist | 1403 W Glen Ave, Peoria, IL 61614-4705 | 2017-06-28 |
| 1194177196 | Meghana Gaharwar | Dentist | 1403 W Glen Ave, Peoria, IL 61614-4705 | 2016-07-01 |
| 1639588874 | Prabhjot Kaur | Dentist | 1403 W Glen Ave, Peoria, IL 61614-4705 | 2014-08-12 |
| 1225384480 | Mangayarkarasi Mathiyazhagan | Dentist | 1403 W Glen Ave, Peoria, IL 61614-4705 | 2012-07-25 |
| 1568726206 | Familia Dental Peoria 5 LLC | Dentist | 1403 W Glen Ave, Peoria, IL 61614-4705 | 2012-06-27 |
| 1710265434 | Srinivas R Durshanapalli | Dentist | 1403 W Glen Ave, Peoria, IL 61614-4705 | 2011-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530187 | Core Family Dental, LLC | Dentist | 13460 N 94th Dr Ste K4, Peoria, AZ 85381-4249 | 2020-05-24 |
| 1982248084 | Westbrook Dental Center, P.a. | Dentist | 9276 W Union Hills Dr Ste A, Peoria, AZ 85382-8206 | 2019-10-31 |
| 1699318725 | Mint Dental Care LLC | Dentist | 8258 W Thunderbird Rd Ste 201, Peoria, AZ 85381-4777 | 2019-10-21 |
| 1548822497 | Katherine M Unes | Dentist | 11323 N Pawnee Rd, Peoria, IL 61615-9796 | 2019-07-01 |
| 1992296073 | George S Hariri | Dentist | 7777 W Deer Valley Rd Ste 160, Peoria, AZ 85382-2104 | 2018-05-23 |
| 1619485869 | Thunderbird Dental Studio | Dentist | 9179 W Thunderbird Rd Ste 107, Peoria, AZ 85381-4875 | 2018-01-22 |
| 1588179311 | Dr. Marc C Thevenin Jr. PC | Dentist | 5116 N Big Hollow Rd Ste 101, Peoria, IL 61615-3514 | 2017-12-01 |
| 1629592423 | Jessica Leigh Howard | Dentist | 7966 W Thunderbird Rd Ste 101, Peoria, AZ 85381-4902 | 2017-08-02 |
| 1588193718 | Darren Anderson | Dentist | 28451 N Vistancia Blvd Ste 101, Peoria, AZ 85383-2090 | 2017-06-10 |
| 1962943290 | Optim Dental Peoria-1 LLC | Dentist | 1200 W Main St Ste 9, Peoria, IL 61606-1218 | 2017-03-20 |
| Find all providers in PEORIA | ||||
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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.