Organization Active NPI

SJ Dentistry LLC

Doing business as Merrifield Dental

  • General Practice Dentistry
  • Fairfax, VA
National Provider Identifier
1386519049
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SJ DENTISTRY LLC
Doing business as
Merrifield Dental
Practice address
8622 Route 29 Ste a
Fairfax, VA 22031-2148
Phone
(703) 876-4600
NPI assigned
Oct 10, 2025
Last updated
Oct 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
SE-Young Jeon, DDSNPI 1982126884
Title
Owner
Phone
(703) 876-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8622 Route 29 Ste a
Fairfax, VA 22031-2148

Mailing address

8622 Route 29 Ste a
Fairfax, VA 22031-2148
Phone (703) 876-4600

Other names 1

  • Merrifield Dental Doing business as

National Provider Directory

National Provider Directory

Locations

8622 Route 29
Ste A
Fairfax, VA 22031
Phone (703) 876-4600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1386519049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8622 ROUTE 29 STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312148",
            "telephone_number": "703-876-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8622 ROUTE 29 STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312148",
            "telephone_number": "703-876-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "JEON",
        "authorized_official_first_name": "SE-YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-876-4600",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merrifield Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.