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PURE DENTAL LLC
NPI 1487436556
Dentist - General Practice in Reston, VA

Active since October 13, 2023
11864 SUNRISE VALLEY DR STE 100, RESTON, VA 20191(571) 236-6699 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Pure Dental Llc NPPES

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

PURE DENTAL LLC (NPI 1487436556) is a healthcare organization registered as a general practice in Reston, Virginia and active in the NPI registry since October 2023. The organization lists Jae-woo Jung, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1487436556
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePURE DENTAL LLC
Location Address11864 SUNRISE VALLEY DR STE 100Reston, VA 20191-3311
Mailing Address4631 Hummingbird LnFairfax, VA 22033-3745
Phone(571) 236-6699
Organization SubpartNo
Authorized OfficialJae-woo JungOwner Doctor · (571) 236-6699
Enumeration DateOctober 13, 2023
NPPES CertifiedOctober 13, 2023
✔ NPI 1487436556 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.
11864 SUNRISE VALLEY DR STE 100, Reston, VA 20191
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Pure Dental LLC's NPI number?

The NPI number for Pure Dental LLC is 1487436556. It was assigned to this organization in the NPPES registry on October 13, 2023.

Where is Pure Dental LLC located?

Pure Dental LLC is located at 11864 Sunrise Valley Dr Ste 100, Reston, VA 20191. The listed phone number is (571) 236-6699.

What is Pure Dental LLC's specialty?

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

What insurance does Pure Dental LLC accept?

Health plans from UnitedHealthcare list Pure Dental LLC 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 Pure Dental LLC was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.