OrganizationActive
Ilcheon Joo DDS PC
NPI 1699006452 · Dental Clinic/Center · Pine Grove, PA
Provider details
- NPI number
- 1699006452
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ilcheon Joo, President/Owner(570) 345-3495
- License
- DS037775 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
46 Mifflin St
Pine Grove, PA 17963-1318
Phone: (570) 345-3495
Fax: (570) 345-3161
Street-level locationGet directions
Mailing address
46 Mifflin St
Pine Grove, PA 17963-1318
Registry dates
- Enumerated
- 2010-01-19
- Last updated
- 2010-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.