Active NPI
Lowcost Dental PC
- General Practice Dentistry
- Annandale, VA
National Provider Identifier
1184440372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Annandale, VA
- NPI 1578777801
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.