Jung S Pak DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JUNG S PAK DDS PC

Practice address

11001 Lee Hwy Ste a
Fairfax, VA 22030-5018

Phone

(703) 691-9740

Fax

(703) 691-9809

NPI assigned

Jan 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jung Soo Pak, DDSNPI 1285869495

Title

Director

Phone

(703) 691-9740

Specialties & licenses 1

Addresses

Other names 1

• Fairfax Dental Care Doing business as

Practitioners 4

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

• Jung Soo Pak, D.D.S

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1285869495
  NPD (past) Authorized official
• Eric R Capps, DDS

  • General Practice Dentistry
  • Virginia Beach, VA
  • NPI 1639338510
  NPD (past)
• Ryan Javier, D.M.D

  • Dentist
  • Fairfax, VA
  • NPI 1164749925
  NPD (past)
• Thien V Le, D.D.S

  • General Practice Dentistry
  • Annandale, VA
  • NPI 1851548044
  NPD (past)

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1366864480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 LEE HWY STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305018",
            "telephone_number": "703-691-9740",
            "fax_number": "703-691-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 LEE HWY STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305018",
            "telephone_number": "703-691-9740",
            "fax_number": "703-691-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG S PAK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "SOO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-691-9740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfax Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juliana Y. Park MD PC
• Meagan Juliano
• Grace Yilan Jun, L.AC
• Hailey H Jun, FNP-C
• Woori Kay Jun, LPC
• Bohaeng Jung
• Christina Jung, M.D.
• Dawoon Jung, NP-C
• Jiho Jung, L.AC.
• Jina Jung

• Dental Clinic/Center in Fairfax, VA
• Providers in Fairfax, 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 Jan 8, 2014; 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.