Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ilcheon Joo DDS PC

Organization Dental Clinic/Center · NPI 1699006452

Ilcheon Joo DDS PC is a Dental Clinic/Center in Pine Grove, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2010.

Licensed in
PA
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

46 Mifflin St
Pine Grove, PA 17963-1318
Phone: (570) 345-3495
Fax: (570) 345-3161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence DS037775 (PA)

Record details

NPI number1699006452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ilcheon Joo — President/Owner · (570) 345-3495
NPI enumeratedJanuary 19, 2010
Last updated in NPPESJanuary 19, 2010
Mailing address46 Mifflin St, Pine Grove, PA 17963-1318

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