JAE KWON BOK DDS PC (NPI# 1164692448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164692448 |
| Entity Type | Organization |
| Organization Name | JAE KWON BOK DDS PC |
| Practice Address |
7535 Little River Tpke 100-e Annandale VA 22003-2937 |
| Mailing Address |
7535 Little River Tpke #100-e Annandale VA 22003-2937 |
| Practice Telephone | 7039566222 |
| Mailing Telephone | 7039566222 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |
| Authorized Official Name | JAE BOK (PRESIDENT) |
| Authorized Official Telephone | 7039566222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
7535 LITTLE RIVER TPKE 100-E |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-2937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487756441 | Jae Kwon Bok | Dentist | 7535 Little River Tpke, # 100 E, Annandale, VA 22003-2937 | 2006-09-01 |
| 1609311166 | Dwight Kim | Acupuncturist | 7535 Little River Tpke, 103a, Annandale, VA 22003-2937 | 2016-12-19 |
| 1760882013 | Ace Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7535 Little River Tpke, #100 C, Annandale, VA 22003-2937 | 2014-08-23 |
| 1073920534 | Imc Group Inc | Internal Medicine | 7535 Little River Tpke, Suite 100c, Annandale, VA 22003-2937 | 2014-07-16 |
| 1679985816 | Potomac Pain and Wellness Center Inc | Clinic/Center | 7535 Little River Tpke, Suite 100c, Annandale, VA 22003-2937 | 2014-05-22 |
| 1164841045 | Rebecca Cho | Registered Nurse | 7535 Little River Tpke, #310-a, Annandale, VA 22003-2937 | 2014-04-08 |
| 1932524378 | Acolytes Home Health Care,llc | Home Health | 7535 Little River Tpke, Annandale, VA 22003-2937 | 2014-02-21 |
| 1437438918 | Crosspoint Dental Care PC | Dentist | 7535 Little River Tpke, Suite 310-c, Annandale, VA 22003-2937 | 2011-08-15 |
| 1508162462 | Aurea B Sanzetenea | Nurse Practitioner | 7535 Little River Tpke, Suite 100 A,b,c, Annandale, VA 22003-2937 | 2011-02-09 |
| 1043490444 | Soo Rhee | Acupuncturist | 7535 Little River Tpke, Suite 210a, Annandale, VA 22003-2937 | 2007-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184251654 | Jonathan B Vo | Dentist | 7519 Little River Tpke Apt T-1, Annandale, VA 22003-2930 | 2020-03-25 |
| 1982254975 | Melissa Lee | Dentist | 4322 Evergreen Ln Ste E, Annandale, VA 22003-3270 | 2019-09-12 |
| 1427525484 | Atlantic Health Group PC | Dentist | 3301 Woodburn Rd # 311, Annandale, VA 22003-1229 | 2018-10-29 |
| 1477028769 | Ragan Dental Enterprises | Dentist | 1465 Route 31 South, Suite 29, Annandale, NJ 08801 | 2018-10-12 |
| 1245689660 | Milan Patel | Dentist | 1465 Route 31 S Ste 29, Annandale, NJ 08801-3131 | 2016-06-07 |
| 1528446457 | Prohealth Dentists Pllc | Dentist | 7805 Antiopi St, Annandale, VA 22003-1405 | 2015-05-12 |
| 1073990594 | Prestige Dental Specialists | Dentist | 7630 Little River Tpke, 115, Annandale, VA 22003-2610 | 2015-05-05 |
| 1477969798 | I.l. Forbes Dds Plc | Dentist | 7023 Little River Tpke Ste 104, Annandale, VA 22003-5939 | 2014-07-08 |
| 1437461951 | Anna Sidor | Dentist | 7630 Little River Turnpike, Suite 115, Annandale, VA 08753-3348 | 2010-07-13 |
| 1942467055 | Sang Wook Lee | Dentist | 7535 Little River Tpke Ste 310c, Annandale, VA 22003-2989 | 2008-05-19 |
| Find all providers in ANNANDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.