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

Ayoung Jo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821790338

Ayoung Jo is a Student in an Organized Health Care Education/Training Program in Granbury, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2023
Specialties on file
2

Practice location Address checks out

301 E US Highway 377 Ste 100
Granbury, TX 76048-1201
Phone: (817) 776-4337
Show map & directions

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

Additional practice locations (1)

  • 3302 Gaston Ave, Dallas, TX 75246-2013 — (214) 828-8215

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 40442 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (TX)

Record details

NPI number1821790338
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024
Mailing address301 E Us Highway 377 Ste 100, Granbury, TX 76048-1201

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