FAIRFAX DENTAL CARE
NPI 1366864480
Clinic/Center - Dental in Fairfax, VA

Q: What is Jung S Pak Dds PC's NPI number?

The NPI number for Jung S Pak Dds PC is 1366864480. It was assigned to this organization in the NPPES registry on January 8, 2014. The provider is doing business as Fairfax Dental Care.

Q: What is Jung S Pak Dds PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Q: When was this NPI record last updated?

The NPPES record for Jung S Pak Dds PC was last updated on January 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since January 08, 2014

11001 LEE HWY STE A, FAIRFAX, VA 22030(703) 691-9740(703) 691-9809 Get Directions Write a Review

NPPES record last updated: January 8, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Fairfax Dental Care NPPES

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

FAIRFAX DENTAL CARE (NPI 1366864480) is a healthcare organization registered as a dental in Fairfax, Virginia and active in the NPI registry since January 2014. The organization lists Jung Soo Pak, Director, as its authorized official.

NPPES Registry Identity

NPI1366864480

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameJUNG S PAK DDS PC

Location Address11001 LEE HWY STE AFairfax, VA 22030-5018

Mailing Address11001 Lee Hwy Ste AFairfax, VA 22030-5018 · (703) 691-9740 · Fax (703) 691-9809

Phone(703) 691-9740

Fax(703) 691-9809

Organization SubpartNo

Authorized OfficialJung Soo PakDirector · (703) 691-9740

Enumeration DateJanuary 8, 2014

✔ NPI 1366864480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

11001 LEE HWY STE A, Fairfax, VA 22030

Open in Google Maps ↗

Other Names 1

Doing Business AsFairfax Dental Care

Other Providers at the Same Location NPPES

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

DR. RYAN JAVIER D.M.D

Dentist

11001 LEE HWY STE A
FAIRFAX, VA 22030

Fairfax City (703) 691-9740

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 S Pak Dds PC's NPI number?

The NPI number for Jung S Pak Dds PC is 1366864480. It was assigned to this organization in the NPPES registry on January 8, 2014. The provider is doing business as Fairfax Dental Care.

Where is Jung S Pak Dds PC located?

Jung S Pak Dds PC is located at 11001 Lee Hwy Ste A, Fairfax, VA 22030. The listed phone number is (703) 691-9740.

What is Jung S Pak Dds PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Jung S Pak Dds PC was last updated on January 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.