Dr. Jae-Woo Jung , DDS
Dentist - General Practice • Reston, VA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jae-Woo Jung has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jae-Woo Jung, DDS was a registered Dentist - General Practice practicing in Reston, VA. Throughout an active medical career spanning 5 years, Dr. Jung provided care at the practice location at 11864 SUNRISE VALLEY DR STE 100 until profile deactivation on 2023-10-13.
Practice Location & Contact Primary Location
11864 Sunrise Valley Dr Ste 100
Reston, VA 201913311
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Reston, VA
Practicing in Reston, VA (3535 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2024-09-30NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 11864 SUNRISE VALLEY DR STE 100, RESTON, VA 201913311 (Tel: 7039641777)
Record officially reactivated for active practice on October 20, 2023
Record deactivated on October 13, 2023
NPI status registered as active in NPPES database
Registered at 8140 STONEWALL SHOPS SQ, GAINESVILLE, VA 201553891 (Tel: 5712988279)
Registered at 7322 PINEWOOD ST, FALLS CHURCH, VA 220462726
Recorded as JAE-WOO JUNG, DDS
Dentist (License #0401416137 in VA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
7322 Pinewood St
Falls Church, VA 220462726
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