Doctor profile · Federal record
Dr. Ilcheon Joo, D.D.S
Dentist · Pine Grove, PA
- NPI 1063530509
- 19 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
46 Mifflin St
Pine Grove, PA 179631318
(570) 345-3495
fax (570) 345-3161 - Mailing address
-
6690 Hauser RD, M101
Macungie, PA 180628102
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- December 8, 2009
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Pennsylvania #DS037775
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063530509. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$72
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| COLGATE ORAL PHARMACEUTICALS, INC. | 3 | $72.11 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
160
Patients
105
Total drug cost
$623
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 85 | 51 | $331 |
| Ibuprofen | Generic | 32 | 26 | $73 |
| Clindamycin Hcl | Generic | 30 | 17 | $192 |
| Ibu (Ibuprofen) | Brand | 13 | 11 | $27 |
Frequently asked questions
What is Dr. Ilcheon Joo's medical specialty?
Dr. Ilcheon Joo practices Dentist in Pine Grove, PA.
Where does Dr. Ilcheon Joo practice?
Dr. Ilcheon Joo practices at 46 Mifflin St, Pine Grove, PA 179631318. Office phone: 5703453495.
What is Dr. Ilcheon Joo's NPI?
Dr. Ilcheon Joo's National Provider Identifier (NPI) is 1063530509, issued by NPPES.