DR. SANG-JIN SAMUEL NAM DDS NPI 1164910154

NPI Information

NPI: 1164910154
Provider Name: DR. SANG-JIN SAMUEL NAM, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
6120 BRANDON AVE STE 317
SPRINGFIELD, VA
ZIP 22150
Phone: (703) 451-3303
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DR. Sang-jin Samuel Nam, DDS is a general practice dentist in Springfield, 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. DR. Sang-jin Samuel Nam, DDS NPI is 1164910154. 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:

6120 BRANDON AVE STE 317
SPRINGFIELD, VA
ZIP 22150-504
Phone: (703) 451-3303

The enumeration date for this NPI number is 4/25/2018 and was last updated on 12/19/2020.

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	390200000X	Student in an Organized Health Care Education/Training Program				No
2	1223G0001X	Dentist	General Practice	0401416970	VIRGINIA	Yes

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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