JUNG S PAK DDS PC NPI 1366864480

NPI Information

NPI: 1366864480
Provider Name: JUNG S PAK DDS PC

Doing Business As: FAIRFAX DENTAL CARE

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
11001 LEE HWY STE A
FAIRFAX, VA
ZIP 22030
Phone: (703) 691-9740
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JUNG S PAK DDS PC is a dental clinic center in Fairfax, VA. JUNG S PAK DDS PC NPI is 1366864480. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairfax Dental Care.

The provider's business location address is:

11001 LEE HWY STE A
FAIRFAX, VA
ZIP 22030-018
Phone: (703) 691-9740
Fax: (703) 691-9809

The provider's authorized official is Jung Soo Pak .
The authorized official title is Director and has the following contact phone number (703) 691-9740.

The enumeration date for this NPI number is 1/8/2014 and was last updated on 1/8/2014.

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	261QD0000X	Clinic/Center	Dental			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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