Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639200934 Individual Practitioner Male Practitioner

Dr. Heesoo Ko , DMD

Dentist - Pediatric Dentistry • Dededo, GU

Professional Overview & Biography Verified Profile Summary

Dr. Heesoo Ko, DMD is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Dededo, GU. Practice services are available at 655 HARMON LOOP RD STE 108 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

655 Harmon Loop Rd Ste 108

Dededo, GU 969296544

Telephone 6716378334
Fax 6716370611
Associated Practice Facility / Clinic
🏢 Superdrug-Harmon Facility NPI 1114362571

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Dededo, GU

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Dededo, GU (5 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License GU D962

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1043901440

Doctor of Pharmacy (Pharm.D.)

Rhoda Orallo , MSW, LCSW

Social Worker - Clinical

NPI 1093699928

Master of Social Work, Licensed Clinical Social Worker

NPI 1164697546

Doctor of Medicine (M.D.)

Dawn Ostberg , FNP-BC

Nurse Practitioner

NPI 1376143560

Family Nurse Practitioner (Board Certified)

Paul Dalmacio

Pharmacist

NPI 1376198317
Dr. Luis Cruz , MD

Family Medicine - Sports Medicine

NPI 1568649606

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 655 HARMON LOOP RD STE 108, DEDEDO, GU 969296544 (Tel: 6716378334)

📍
Updated Business Mailing Address July 08, 2007

Registered at 655 HARMON LOOP RD STE 108, DEDEDO, GU 969296544 (Tel: 6716378334)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as HEESOO KO, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D962 in GU)

🟢
Initial NPI Registration & Enumeration March 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639200934
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

655 Harmon Loop Rd Ste 108

Dededo, GU 969296544

Phone: 6716378334

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.