MEDICARE: DR. JAEWOONG CHOI D.D.S.

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	122300000X	Dentist	32516	TX

General Provider Information

NPI Number	:	1871045393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAEWOONG CHOI D.D.S.

Provider Business Mailing Address
First Line	:	432 SAMUELS AVE APT 2305
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76102-2483
Country	:	US
Telephone Number	:	574-309-2579
Fax Number	:

Provider Business Practice Location Address
First Line	:	432 SAMUELS AVE APT 2305
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76102-2483
Country	:	US
Telephone Number	:	574-309-2579
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2016
Last Update Date	:	11/01/2016

Similar Medicare Providers

1376787606 — APRAM BASRA D.O
Practice Location Address:

900 MATISSE DR APT 4001
FORT WORTH, TX
76107-2483

Practice Phone: 972-822-5885
Practice Fax:

1972319408 — AASTHA DHAKAL RN
Practice Location Address:

8748 SLEEPY DAISY DR
FORT WORTH, TX
76131-2483

Practice Phone: 682-444-1827
Practice Fax:

1386062438 — SGHPC-SA, LLC
Practice Location Address:

2501 PARKVIEW DR STE 600A
FORT WORTH, TX
76102-5822

Practice Phone: 210-822-2992
Practice Fax:

1497523120 — WHITNEY NICOLE ALLEN LMSW
Practice Location Address:

600 W 6TH ST # 1066
FORT WORTH, TX
76102-3684

Practice Phone: 682-420-4495
Practice Fax:

1508711623 — JIMMIE FLOYD BOOZE
Practice Location Address:

1501 E EL PASO ST STE A
FORT WORTH, TX
76102-6765

Practice Phone: 817-569-4600
Practice Fax:

1174478077 — ANDREW INFINGER, PLLC
Practice Location Address:

600 W 6TH ST STE 422
FORT WORTH, TX
76102-3684

Practice Phone: 817-381-8782
Practice Fax:

Directions to “ DR. JAEWOONG CHOI D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.