YOUNG KIM DDS OF LAKE MANASSAS PLLC
NPI 1811683667
Clinic/Center - Dental in Gainesville, VA
About Young Kim Dds Of Lake Manassas Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YOUNG KIM DDS OF LAKE MANASSAS PLLC (NPI 1811683667), doing business as Lake Manassas Dental Center, is a healthcare organization registered as a dental in Gainesville, Virginia and active in the NPI registry since April 2023. The organization lists Young Kim, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Young Kim Dds Of Lake Manassas PLLC's NPI number?
The NPI number for Young Kim Dds Of Lake Manassas PLLC is 1811683667. It was assigned to this organization in the NPPES registry on April 14, 2023. The provider is doing business as Lake Manassas Dental Center.
Where is Young Kim Dds Of Lake Manassas PLLC located?
Young Kim Dds Of Lake Manassas PLLC is located at 7915 Lake Manassas Dr Ste 115, Gainesville, VA 20155. The listed phone number is (571) 261-9470.
What is Young Kim Dds Of Lake Manassas PLLC'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 Young Kim Dds Of Lake Manassas PLLC was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Young Kim Dds Of Lake Manassas Pllc · NPI 1811683667
Dental organization in Gainesville, Virginia. Organization record, active in the CMS NPPES registry since April 14, 2023.
## Identity
- **NPI:** 1811683667 (Entity type: Organization)
- **Enumerated:** April 14, 2023
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Also known as:** Lake Manassas Dental Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Young Kim, OWNER
## Practice location
- **Address:** 7915 LAKE MANASSAS DR STE 115, Gainesville, VA 20155-3259
- **Phone:** (571) 261-9470
## Record status
- **NPPES last updated:** April 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1811683667) · Data from the CMS NPPES public registry.