Provider Demographics
NPI:1326616129
Name:JAMIE P. CHOI, DDS, INC.
Entity Type:Organization
Organization Name:JAMIE P. CHOI, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-973-8500
Mailing Address - Street 1:5150 GRAVES AVE STE 9A
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-5009
Mailing Address - Country:US
Mailing Address - Phone:408-973-8500
Mailing Address - Fax:408-973-9181
Practice Address - Street 1:5150 GRAVES AVE STE 9A
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-5009
Practice Address - Country:US
Practice Address - Phone:408-973-8500
Practice Address - Fax:408-973-9181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental