Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAE-WOO JUNG, DDS
Deactivated Sole ProprietorJAE-WOO JUNG, DDS is a General Dentistry healthcare provider located in RESTON, Virginia. NPI 1871089987 is deactivated in the NPPES registry. Verify at CMS.
General Dentistry · RESTON, VA
This NPI has been deactivated.
The record was deactivated on October 13, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1871089987
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2018 (5.2814207650273 yrs)
- Last Updated
- Sep 30, 2024
- Deactivated
- Oct 13, 2023
- License
-
0401416137 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11864 SUNRISE VALLEY DR STE 100RESTON, VA, 201913311Browse VA providers · Browse ZIP 20191
- Phone
- 7039641777
- Fax
- 7039641776
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in RESTON, VA
| Name | Credential | NPI |
|---|---|---|
| DR. ELAINE TALLORIN BARLAN | D.D.S. | 1801856182 |
| DR. JOSEPH EDWARD RUSZ JR. | D.D.S. | 1043273394 |
| DR. ARAMESH DARVISHIAN | DDS | 1922034206 |
| DR. SHANE RYAN COSTA | D.D.S | 1407889306 |
| DR. JOSEPH L. RICHARDSON III | DDS | 1538181862 |
| DR. CARLENE DAWN MARCUS | D.D.S. | 1538179908 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.