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General NPI Number Information
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NPI Number | 1457269029
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Entity Type | Organization
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Legal Business Name | JAMIE KO, DDS, INC.
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 3319 J ST
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City | SACRAMENTO
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State | CA
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Zip | 95816-4502
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Country | US
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Telephone | 279-321-9030
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 BROADSTONE PKWY APT 2322
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City | FOLSOM
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State | CA
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Zip | 95630-6699
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO / PRINCIPAL DENTIST
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Name | JAMIE KO
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Credential | DDS
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Telephone | 279-321-9030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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