Search › Texas › 1223G0001X
Jong Keun Oh, DDS
NPI 1205191533 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1124 S Lake St Ste C
Fort Worth, TX 76104 - Phone
- (817) 332-9393
- Organisation at this address
- Southlake Dental Corp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
1223G0001X
1223G0001X - Licence states on file
- PA, IL, WI, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas