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SJPARK DENTAL, PC
NPI 1245059492
Dentist - General Practice in Fairfax, VA

Active since October 04, 2024
4001 FAIR RIDGE DR STE 105, FAIRFAX, VA 22033(703) 352-0741(703) 352-0046 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sjpark Dental, Pc NPPES

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

SJPARK DENTAL, PC (NPI 1245059492) is a healthcare organization registered as a general practice in Fairfax, Virginia and active in the NPI registry since October 2024. The organization lists Sungbum Park, Director/ Dentist, as its authorized official.

NPPES Registry Identity

NPI1245059492
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSJPARK DENTAL, PC
Location Address4001 FAIR RIDGE DR STE 105Fairfax, VA 22033-2917
Mailing Address4001 Fair Ridge Dr Ste 105Fairfax, VA 22033-2917 · (703) 352-0741 · Fax (703) 352-0046
Phone(703) 352-0741
Fax(703) 352-0046
Organization SubpartNo
Authorized OfficialSungbum ParkDirector/ Dentist · (703) 352-0741
Enumeration DateOctober 4, 2024
NPPES CertifiedSeptember 30, 2024
✔ NPI 1245059492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
4001 FAIR RIDGE DR STE 105, Fairfax, VA 22033
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

FAN YU
Dentist
4001 FAIR RIDGE DR STE 105
FAIRFAX, VA 22033
Fairfax County (703) 865-6276
PREMIER DENTAL ARTS, LLC
Preferred Provider Organization
4001 FAIR RIDGE DR STE 105
FAIRFAX, VA 22033
Fairfax County (703) 865-6276

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 Sjpark Dental, PC's NPI number?

The NPI number for Sjpark Dental, PC is 1245059492. It was assigned to this organization in the NPPES registry on October 4, 2024.

Where is Sjpark Dental, PC located?

Sjpark Dental, PC is located at 4001 Fair Ridge Dr Ste 105, Fairfax, VA 22033. The listed phone number is (703) 352-0741.

What is Sjpark Dental, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Sjpark Dental, PC was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.