Jiho Yang, DMD
Dentist in Medford, WI. Individual provider (NPI-1).
NPI number1952812612
StatusActive
Last updated in NPPESNov 18, 2025
Details
- NPI
- 1952812612
- Entity type
- Individual (NPI-1)
- Name
- Jiho Yang
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 20, 2017
- Certification date
- Nov 18, 2025
- Last updated
- Nov 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019.031555 | IL | Yes |
| 122300000X | Dentist | 6001884-15 | WI |
Other names
- Ji Ho Yang (Other Name)
Practice location
843 W Broadway AveMedford, WI 54451-1307
Phone 715-785-8100
Mailing address
1307 N Saint Joseph AveMarshfield, WI 54449-1340
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All 12 Dentist providers in Medford · All 260 providers in Medford
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