Organization Active NPI

Lowcost Dental PC

  • General Practice Dentistry
  • Annandale, VA
National Provider Identifier
1184440372
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LOWCOST DENTAL PC
Practice address
4324 Evergreen LN Ste C
Annandale, VA 22003-3272
Phone
(703) 956-0071
Fax
(703) 256-3066
NPI assigned
Dec 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hune June Park, DMD
Title
President
Phone
(703) 956-0071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4324 Evergreen LN Ste C
Annandale, VA 22003-3272

Mailing address

4324 Evergreen LN Ste C
Annandale, VA 22003-3272
Phone (703) 956-0071

National Provider Directory

National Provider Directory

Locations

4324 Evergreen Ln
Ste C
Annandale, VA 22003
Phone (703) 750-1302

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1184440372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 EVERGREEN LN STE C",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033272",
            "telephone_number": "703-956-0071",
            "fax_number": "703-256-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 EVERGREEN LN STE C",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033272",
            "telephone_number": "703-956-0071",
            "fax_number": "703-256-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOST DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "HUNE JUNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-956-0071",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.