Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205191533 Individual Practitioner Male Practitioner

Dr. Jong Keun Oh , DDS

Dentist - General Practice • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jong Keun Oh, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fort Worth, TX. Practice services are available at 1124 S LAKE ST STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1124 S Lake St Ste C

Fort Worth, TX 761044313

Telephone 8173329393

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
289 Specialists

Practicing in Fort Worth, TX (10570 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 34658

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License PA DS039396

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IL 019029165

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WI 7003-15

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

2 Associated Practitioners
NPI 1255784690

Doctor of Dental Surgery

NPI 1902922099

Doctor of Dental Surgery

Career & Practice History Timeline

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

17 Historical Events
📍
Updated Business Mailing Address November 16, 2019

Registered at 1124 S LAKE ST STE C, FORT WORTH, TX 761044313 (Tel: 8173329393)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2019

Dentist (License #34658 in TX)

📍
Updated Practice Location November 05, 2019

Registered at 1124 S LAKE ST STE C, FORT WORTH, TX 761044313 (Tel: 8173329393)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2019

Dentist (License #DS039396 in PA)

📍
Updated Practice Location June 23, 2019

Registered at 906 W ABRAM ST, ARLINGTON, TX 760136912 (Tel: 3314573151)

📍
Updated Business Mailing Address June 23, 2019

Registered at 441 COLUMBIA CT, PROSPER, TX 750788525 (Tel: 3314573151)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2019

Dentist (License #7003-15 in WI)

📍
Updated Practice Location April 02, 2019

Registered at 303 E OVERTON RD, DALLAS, TX 752165946 (Tel: 2143075671)

📍
Updated Business Mailing Address April 02, 2019

Registered at 303 E OVERTON RD, DALLAS, TX 752165946 (Tel: 2143075671)

👤
Provider Name / Credentials Updated April 02, 2019

Recorded as JONG KEUN OH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2019

Dentist (License #34658 in TX)

NPI Profile Active September 01, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2014

Registered at 545 E JOHNSON ST, FOND DU LAC, WI 549352856 (Tel: 9209249090)

📍
Updated Business Mailing Address September 01, 2014

Registered at 545 E JOHNSON ST, FOND DU LAC, WI 549352856 (Tel: 9209249090)

👤
Provider Name / Credentials Updated September 01, 2014

Recorded as JONG OH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2014

Dentist (License #7003-15 in WI)

🟢
Initial NPI Registration & Enumeration July 12, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1205191533
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2012
Last Update: November 16, 2019
Sole Proprietor: Yes

Mailing Address

1124 S Lake St Ste C

Fort Worth, TX 761044313

Phone: 8173329393

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.