MIN YOUNG JO (NPI# 1447705397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447705397 |
| Entity Type | Individual |
| Full Name | MIN YOUNG JO |
| Credential | DDS |
| Practice Address |
16475 Sierra Lakes Pkwy Ste 140 Fontana CA 92336-1259 |
| Mailing Address |
4287 Clydesdale Way Montclair CA 91763-4179 |
| Practice Telephone | 9093570869 |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 100718 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538601315 | Min Jo | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2016-11-10 |
| Street Address |
16475 SIERRA LAKES PKWY STE 140 |
| City | FONTANA |
| State | CA |
| Zip Code | 92336-1259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588022065 | Marilyn Maia Nguyen | Dentist | 16475 Sierra Lakes Pkwy Ste 140, Fontana, CA 92336-1259 | 2016-01-29 |
| 1407334535 | George Levy Parker | Dentist | 16475 Sierra Lakes Pkwy Ste 140, Fontana, CA 92336-1259 | 2018-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700361243 | Schmidt and Jefferson Dental Corporation | Dentist | 16944 South Highland Avenue, Ste. 400, Fontana, CA 92336 | 2018-10-01 |
| 1275032658 | Kenitha Pulliam | Behavioral Analyst | 14051 Catalina Ct, Fontana, CA 92336 | 2018-02-12 |
| 1568961183 | Jordan Frailey | Marriage & Family Therapist | 9161 Sierra Ave. Suite 213, Fontana, CA 92336 | 2018-02-09 |
| 1689198905 | Sara Alyssa Lynch | Specialist/Technologist | 7151 Oak Tree Place, Fontana, CA 92336 | 2017-07-28 |
| 1043749526 | Eric Ceasar Parian Lopez | Registered Nurse | 16001 Pfc Paris Montanez Dr., Fontana, CA 92336 | 2017-06-08 |
| 1275065393 | Alyssa Calderon | Marriage & Family Therapist | 14335 Quail Ct, Fontana, CA 92336 | 2017-03-29 |
| 1588029219 | Daisy Maritza Santana | Behavioral Analyst | 16320 Rosa Linda Ln, Fontana, CA 92336 | 2015-12-23 |
| 1407237498 | Natalie Kathleen Herrera | Physician Assistant | 16456 Sierra Lakes Pkwy, Suite 300, Fontana, CA 92336 | 2015-06-15 |
| 1255738241 | Southern California Picc Providers, Inc. | Spec/Tech, Cardiovascular | 5787 Little Shay Dr, Fontana, CA 92336 | 2014-11-19 |
| 1396175758 | Martha C Ajca | Physician Assistant | 17051 Sierra Lakes Parkway, Suite 101, Fontana, CA 92336 | 2013-11-22 |
| Find all providers in zip 92336 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128039 | Mahin N Jahromi Dental Group Inc | Dentist | 13677 Foothill Blvd Bldg Suitem, Fontana, CA 92335-0505 | 2020-09-15 |
| 1033761580 | Salina Safaei | Dentist | 16701 Valley Blvd # Cd, Fontana, CA 92335-6696 | 2019-07-15 |
| 1134771587 | Nanditha Rao | Dentist | 16701 Valley Blvd Ste C&d, Fontana, CA 92335-6696 | 2019-07-15 |
| 1700361243 | Schmidt and Jefferson Dental Corporation | Dentist | 16944 South Highland Avenue, Ste. 400, Fontana, CA 92336 | 2018-10-01 |
| 1649794009 | Bassam W Fargo | Dentist | 8275 Sierra Ave Ste 102, Fontana, CA 92335-3557 | 2017-07-27 |
| 1588022065 | Marilyn Maia Nguyen | Dentist | 16475 Sierra Lakes Pkwy Ste 140, Fontana, CA 92336-1259 | 2016-01-29 |
| 1083958961 | Maria Virginia Bravo -espinoza Dds, Inc | Dentist | 16147 Foothill Blvd Ste A, Fontana, CA 92335-3374 | 2012-11-16 |
| 1033468368 | Edward Lee Vera | Dentist | 16946 Marygold Ave Ste 101, Fontana, CA 92335-1724 | 2012-08-31 |
| 1629324439 | Seul Ki Yang | Dentist | 9810 Sierra Ave Ste D, Fontana, CA 92335-6779 | 2012-07-30 |
| 1538427182 | Krupal Chhotu | Dentist | 9647 Sierra Ave, Fontana, CA 92335-0000 | 2012-05-01 |
| Find all providers in FONTANA | ||||
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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.