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DR. SANG-JIN SAMUEL NAM DDS
NPI 1164910154
Dentist - General Practice in Springfield, VA

Active since April 25, 2018
6120 BRANDON AVE STE 317, SPRINGFIELD, VA 22150(703) 451-3303 Get Directions Write a Review

NPPES record last updated: December 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2020, Apr 25, 2018 (2 updates tracked since 2018).

About Dr. Sang-jin Samuel Nam Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SANG-JIN SAMUEL NAM DDS (NPI 1164910154) is an individual general practice provider in Springfield, Virginia, licensed in Virginia (0401416970) and active in the NPI registry since April 2018. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164910154
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SANG-JIN SAMUEL NAMCredential: DDS
Location Address6120 BRANDON AVE STE 317Springfield, VA 22150-2504
Mailing Address1567 Main StSpringfield, MA 01103-1413
Phone(703) 451-3303
Sole ProprietorNo
Enumeration DateApril 25, 2018
Last NPPES UpdateDecember 19, 20202 updates tracked since enumeration
NPPES CertifiedDecember 19, 2020
✔ NPI 1164910154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401416970
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6120 BRANDON AVE STE 317, Springfield, VA 22150
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Secondary Practice Locations 2

Location 15249 Duke St Ste L-10Alexandria, VA 22304-2926 · Phone (703) 823-8812
Location 24422 3rd AveBronx, NY 10457-2594 · Phone (413) 219-2900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACEFUL SMILES LLC
Dentist
6120 BRANDON AVE STE 317
SPRINGFIELD, VA 22150
Fairfax County (703) 451-3303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sang-jin Nam's NPI number?

The NPI number for Sang-jin Nam is 1164910154. It was assigned to this individual provider in the NPPES registry on April 25, 2018.

Where is Sang-jin Nam located?

Sang-jin Nam practices at 6120 Brandon Ave Ste 317, Springfield, VA 22150. The listed phone number is (703) 451-3303.

What is Sang-jin Nam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Sang-jin Nam accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Sang-jin Nam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sang-jin Nam was last updated on December 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.