FAIRFAX DENTAL CARE
NPI 1366864480
Clinic/Center - Dental in Fairfax, VA
Active since January 08, 2014
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
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366864480, enumerated as an "organization" on January 08, 2014.
The provider is located at 11001 LEE HWY STE A FAIRFAX, VA 22030 and the phone number is (703) 691-9740.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
