Tysons Corner Dental PC,

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TYSONS CORNER DENTAL PC,

Practice address

8308 Old Courthouse Rd Ste D
Vienna, VA 22182-3863

Phone

(571) 378-0032

NPI assigned

Apr 1, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Young Hoon Kim, DMDNPI 1760544993

Title

Director/ President

Phone

(571) 378-0032

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Young Hoon Kim, DMD

  • General Practice Dentistry
  • Burke, VA
  • NPI 1760544993
  NPD Authorized official

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1346091907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 OLD COURTHOUSE RD STE D",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823863",
            "telephone_number": "571-378-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8308 OLD COURTHOUSE RD STE D",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823863",
            "telephone_number": "571-378-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYSONS CORNER DENTAL PC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "HOON",
        "authorized_official_title_or_position": "DIRECTOR/ PRESIDENT",
        "authorized_official_telephone_number": "571-378-0032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyson Orthodontics, PC
• Tyson Urgent Care, LLC
• David Sheldon Tyson, LCSW, LCSW-C, LICSW
• Tyson's Pain Center, P.C.
• Tysons Corner Advanced Dental Center PC
• Tysons Corner Diagnostic Imaging LLC (Tysons Corner Diagnostic Imaging)
• Tysons Corner Endodontics
• Tysons Corner Ophthalmic Associates, LTD (Northern Virginia Center for Eye Care)
• Tysons Corner Opticians Inc
• Tysons Dental Spa (Tysons Dental Spa LLC)

• Dental Clinic/Center in Vienna, VA
• Providers in Vienna, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.