Provider Demographics
NPI:1548146970
Name:CHO, JASON JORDAN (DMD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:JORDAN
Last Name:CHO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8888 N GRAND CANYON DR APT 10-3104
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89166-6812
Mailing Address - Country:US
Mailing Address - Phone:206-367-4953
Mailing Address - Fax:206-367-4953
Practice Address - Street 1:6180 N DECATUR BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-1505
Practice Address - Country:US
Practice Address - Phone:702-359-3107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV82541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice