DR. YOUNG KOO
NPI 1861776387
Dentist - General Practice in Fairfax, VA

Q: What is Young Koo's NPI number?

The NPI number for Young Koo is 1861776387. It was assigned to this individual provider in the NPPES registry on October 3, 2011.

Q: What is Young Koo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Young Koo was last updated on October 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 October 03, 2011

4138 FOUNTAINSIDE LN, 303, FAIRFAX, VA 22030(917) 407-4253 Get Directions Write a Review

NPPES record last updated: October 3, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Young Koo NPPES

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

DR. YOUNG KOO (NPI 1861776387) is an individual general practice provider in Fairfax, Virginia, licensed in Virginia (0401413381) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1861776387

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. YOUNG KOO

Location Address4138 FOUNTAINSIDE LN, 303Fairfax, VA 22030-7437

Mailing Address4138 Fountainside Ln, 303Fairfax, VA 22030-7437 · (917) 407-4253

Phone(917) 407-4253

Sole ProprietorNo

Enumeration DateOctober 3, 2011

✔ NPI 1861776387 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 · 0401413381

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.

4138 FOUNTAINSIDE LN, Fairfax, VA 22030

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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 Koo's NPI number?

The NPI number for Young Koo is 1861776387. It was assigned to this individual provider in the NPPES registry on October 3, 2011.

Where is Young Koo located?

Young Koo practices at 4138 Fountainside Ln 303, Fairfax, VA 22030. The listed phone number is (917) 407-4253.

What is Young Koo's specialty?

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

When was this NPI record last updated?

The NPPES record for Young Koo was last updated on October 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.