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NPI Code Detail

MEDICARE: DR. JASON JORDAN CHO DMD

MEDICARE: DR. JASON JORDAN CHO DMD
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
11223G0001XGeneral Practice Dentistry8254NV

General Provider Information

NPI Number : 1548146970
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON JORDAN CHO DMD
Provider Business Mailing Address
First Line : 8888 N GRAND CANYON DR APT 10-3104
Second Line :
City : LAS VEGAS
State : NV
Zip : 89166-6812
Country : US
Telephone Number : 206-367-4953
Fax Number : 206-367-4953
Provider Business Practice Location Address
First Line : 6180 N DECATUR BLVD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-1505
Country : US
Telephone Number : 702-359-3107
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2025
Last Update Date : 08/12/2025

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