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NPI 1396813721

Paul Kisung Jo, D.D.S.

Dentist, General Practice · Sacramento, CA

Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 9:01 am EDT

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Paul Kisung Jo, D.D.S. is a health care provider (Dentist, General Practice) in Sacramento, California with National Provider Identifier (NPI) 1396813721. The NPI was issued on Dec 2, 2006 and the registry record was last updated on Jul 8, 2007. The registry lists a license in California.

Registry record

NPI
1396813721
Type
Individual (NPI-1), sole proprietor
Primary specialty
Dentist, General Practice 1223G0001X
Practice location
2801 O St
Sacramento, CA 95816-6410
Phone
(916) 736-2801
NPI issued
Dec 2, 2006
Registry record updated
Jul 8, 2007

Specialties and licenses

SpecialtyTaxonomy codeLicense stateLicense
Dentist, General Practice Primary1223G0001XCalifornia48922

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General Practice Dentistry providers in California

Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.