MEDICARE: JSC DENTAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry

General Provider Information

NPI Number	:	1659206878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JSC DENTAL PLLC

Provider Business Mailing Address
First Line	:	2710 MANGUM RD STE 109
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-7495
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1914 GESSNER RD # A100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77080-6371
Country	:	US
Telephone Number	:	713-956-0400
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	JOHN CHO
Credential	:	DDS
Telephone Number	:	713-956-0400

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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Directions to “JSC DENTAL PLLC ” Practice Location

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