Provider Demographics
NPI:1154539922
Name:RO, HELEN (DDS)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:
Last Name:RO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:HYE-RAN
Other - Middle Name:
Other - Last Name:RO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:516 SOMERSET DR
Mailing Address - Street 2:HADDONFIELD
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-1140
Mailing Address - Country:US
Mailing Address - Phone:856-795-2130
Mailing Address - Fax:
Practice Address - Street 1:240 S. 40TH ST.
Practice Address - Street 2:UNIVERSITY OF PENNSYLVANIA. SCHOOL OF DENTISTRY DEPT OF
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-898-8965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02274600122300000X
PADS0371161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice