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DR. JUNG SOO PAK D.D.S
NPI 1285869495
Dentist - General Practice in Fairfax, VA

Active since May 18, 2009
11001 LEE HWY, SUITE # A, FAIRFAX, VA 22030(703) 691-9740(703) 691-9809 Get Directions Write a Review

NPPES record last updated: May 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jung Soo Pak D.d.s NPPES

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

DR. JUNG SOO PAK D.D.S (NPI 1285869495) is an individual general practice provider in Fairfax, Virginia, licensed in Virginia (0401414147) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1285869495
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JUNG SOO PAKCredential: D.D.S
Location Address11001 LEE HWY, SUITE # AFairfax, VA 22030-5018
Mailing Address11001 Lee Hwy, Suite # AFairfax, VA 22030-5018 · (703) 691-9740 · Fax (703) 691-9809
Phone(703) 691-9740
Fax(703) 691-9809
Sole ProprietorNo
Enumeration DateMay 18, 2009
Last NPPES UpdateMay 8, 2015
✔ NPI 1285869495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401414147
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.
11001 LEE HWY, Fairfax, VA 22030
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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 Montana 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.

SPEXINC DBA PEARLE VISION
Eyewear Supplier
11001 LEE HWY
FAIRFAX, VA 22030
Fairfax City (703) 273-6200

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 Jung Pak's NPI number?

The NPI number for Jung Pak is 1285869495. It was assigned to this individual provider in the NPPES registry on May 18, 2009.

Where is Jung Pak located?

Jung Pak practices at 11001 Lee Hwy Suite # A, Fairfax, VA 22030. The listed phone number is (703) 691-9740.

What is Jung Pak's specialty?

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

What insurance does Jung Pak accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jung Pak 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 Jung Pak was last updated on May 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.