JANGYEUL YOON DDS NPI 1538100748

NPI Information

NPI: 1538100748
Provider Name: JANGYEUL YOON, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
10807 MAIN ST STE 200
FAIRFAX, VA
ZIP 22030
Phone: (703) 261-6999
Get Directions

Jangyeul Yoon, DDS is a general practice dentist in Fairfax, VA. The provider is 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. Jangyeul Yoon, DDS NPI is 1538100748. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10807 MAIN ST STE 200
FAIRFAX, VA
ZIP 22030-730
Phone: (703) 261-6999
Fax: (703) 349-2575

The enumeration date for this NPI number is 6/9/2006 and was last updated on 10/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	DS035289	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	132759	OTHER	PENNSYLVANIA	UNISON
2	0015943	OTHER	PENNSYLVANIA	DORAL DENTAL
3	01388616	OTHER	PENNSYLVANIA	UNITED CONCORDIA
4	DS035289	OTHER	PENNSYLVANIA	DELTA DENTAL
5	106688	OTHER	PENNSYLVANIA	DENTAL BENEFIT PROVIDERS
6	001900640	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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