Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790773117 Individual Practitioner Male Practitioner

Dr. Jae Sung Roh , DDS

Dentist - General Practice • Plainfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jae Roh, DDS is a registered healthcare professional specializing in Dentist - General Practice in Plainfield, IL. Practice services are available at 24047 W LOCKPORT ST STE 207 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

24047 W Lockport St Ste 207

Plainfield, IL 605441683

Telephone 8152677878
Fax 8152677979
Associated Practice Facility / Clinic
🏢 Park Dental Group, Inc Facility NPI 1588986418

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Plainfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
22 Specialists

Practicing in Plainfield, IL (5581 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

CMS Verified: 2024-03-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019026367

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Inah Park , DDS

Dentist - General Practice

NPI 1225026651

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 21, 2023

Registered at 24047 W LOCKPORT ST STE 207, PLAINFIELD, IL 605441683 (Tel: 8152677878)

📍
Updated Business Mailing Address December 21, 2023

Registered at 24047 W LOCKPORT ST STE 207, PLAINFIELD, IL 605441683 (Tel: 8152677878)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2023

Dentist (License #019026367 in IL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 530 W LOCKPORT RD, SUITE 210, PLAINFIELD, IL 605441888 (Tel: 8152677878)

📍
Updated Business Mailing Address July 08, 2007

Registered at 530 W LOCKPORT RD, SUITE 210, PLAINFIELD, IL 605441888 (Tel: 8152677878)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JAE ROH, DDS

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

Dentist

🟢
Initial NPI Registration & Enumeration October 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jae Roh. Be the first to share your experience!

Sign in to leave a review for Dr. Jae Roh

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1790773117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2005
Last Update: March 13, 2024
Sole Proprietor: No

Mailing Address

24047 W Lockport St Ste 207

Plainfield, IL 605441683

Phone: 8152677878

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.