Daniel Chun, DDS

Individual provider Active NPI General Practice Dentistry · Tysons, VA

NPI 1346979119 · NPPES record last updated Jun 7, 2022

Key facts

NPI
1346979119
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
0401417912 (VA)
Practice address
8230 Boone Blvd Ste 410
Tysons, VA 22182-2646
Phone
(703) 848-8906
NPI assigned
Jun 7, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0401417912VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander Osinovsky, DDS PC General Practice Past
since Jun 12, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401417912 VA Yes

Addresses

Primary practice location

8230 Boone Blvd Ste 410
Tysons, VA 22182-2646

Mailing address

6510 Dryden Dr
MC Lean, VA 22101-4626
Phone (571) 723-5155

Other practice location 1

3930 Pender Dr Ste 150
Fairfax, VA 22030-0986
Phone (703) 214-7117

Other providers in Tysons, VA

All providers in Tysons, VA · General Practice Dentistry in Virginia

Sources for this page

Verify at the official NPI Registry.