SearchLouisiana1223G0001X

Joonho Phiyo

NPI 1235721523 · on the registry since 2021

Practice

Address
3719 Jewella Ave
Shreveport, LA 71109
Phone
(318) 758-9123
Organisation at this address
Kool Smiles
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
1223S0112X
390200000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-13

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 Louisiana