Dr Philip Jo, DDS in Riverside, CA - Dentist

Dr Philip Jo, DDS is a Dentist - Endodontics based in Riverside, California. Dr Philip Jo is licensed to practice in California (license number 48472) and his current practice location is 5225 Canyon Crest Dr Ste 209, Riverside, California. He can be reached at his office (for appointments etc.) via phone at (951) 686-7777.

NPI number for Dr Philip Jo is 1316245244 and his current mailing address is 152 Cloudbreak, Irvine, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316245244.

Contact Information

	Dr Philip Jo, DDS
	5225 Canyon Crest Dr Ste 209, Riverside, CA 92507-6323
	(951) 686-7777
	Not Available

Healthcare Provider's Profile

Full Name	Dr Philip Jo
Gender	Male
Speciality	Dentist - Endodontics
Location	5225 Canyon Crest Dr Ste 209, Riverside, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1316245244
Provider Enumeration Date: 03/01/2011
Last Update Date: 03/07/2022

Medical Identifiers

Medical identifiers for Dr Philip Jo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316245244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223E0200X	Dentist - Endodontics	48472 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Philip Jo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Philip Jo, DDS 152 Cloudbreak, Irvine, CA 92618-1153 Ph: (909) 435-9471	Dr Philip Jo, DDS 5225 Canyon Crest Dr Ste 209, Riverside, CA 92507-6323 Ph: (951) 686-7777

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Dr Philip Jo, DDS - Dentist in Riverside, CA