Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164910154 Individual Practitioner Male Practitioner

Dr. Sang-Jin Samuel Nam , DDS

Dentist - General Practice • Springfield, VA

Professional Overview & Biography Verified Profile Summary

Dr. Sang-Jin Nam, DDS is a registered healthcare professional specializing in Dentist - General Practice in Springfield, VA. Practice services are available at 6120 BRANDON AVE STE 317 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6120 Brandon Ave Ste 317

Springfield, VA 221502504

Telephone 7034513303
Associated Practice Facility / Clinic
🏢 Graceful Smiles Llc Facility NPI 1740886860

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Springfield, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
61 Specialists

Practicing in Springfield, VA (3535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-12-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401416970

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

5249 Duke St Ste L-10

Alexandria, VA 223042926

Phone: 7038238812

4422 3rd Ave

Bronx, NY 104572594

Phone: 4132192900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1326705955

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location December 19, 2020

Registered at 6120 BRANDON AVE STE 317, SPRINGFIELD, VA 221502504 (Tel: 7034513303)

NPI Profile Active April 25, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2018

Registered at 4422 3RD AVE, BRONX, NY 104572594 (Tel: 4132192900)

📍
Updated Business Mailing Address April 25, 2018

Registered at 1567 MAIN ST, SPRINGFIELD, MA 011031413

👤
Provider Name / Credentials Updated April 25, 2018

Recorded as SANG-JIN NAM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 25, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Sang-Jin Nam. Be the first to share your experience!

Sign in to leave a review for Dr. Sang-Jin Nam

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1164910154
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2018
Last Update: December 19, 2020
Sole Proprietor: No

Mailing Address

1567 Main St

Springfield, MA 011031413

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.