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SAMUEL H. KO DDS INC. NPI 1770965535


NPI Information

NPI: 1770965535
Provider Name: SAMUEL H. KO, DDS, INC.

Doing Business As: APPLE TOOTH DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
12429 MARIPOSA RD
SUITE A
VICTORVILLE, CA
ZIP 92395
Phone: (760) 952-3756
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SAMUEL H. KO, DDS, INC. is a general practice dentist in Victorville, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SAMUEL H. KO, DDS, INC. NPI is 1770965535. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Apple Tooth Dental Group.

The provider's business location address is:

12429 MARIPOSA RD
SUITE A
VICTORVILLE, CA
ZIP 92395-017
Phone: (760) 952-3756
Fax: (760) 952-1008

The provider's authorized official is Samuel H. Ko .
The authorized official title is President/dentist and has the following contact phone number (760) 952-3756.

The enumeration date for this NPI number is 6/29/2015 and was last updated on 6/29/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice40454CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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