Dr. Sang-Jin S Nam, DDS
Dentist, General Practice in Springfield, Virginia
1164910154- Practice location
- 6120 Brandon Ave Ste 317, Springfield, VA 22150-2504
- Phone
- 703-451-3303
- Fax
- —
- Last updated
- December 19, 2020
Sang-Jin Samuel Nam is a Dentist, General Practice based in Springfield, VA. Sang-Jin Samuel Nam practices in Springfield, VA and has the professional credentials of DDS. The NPI Number for Sang-Jin Samuel Nam is 1164910154 and holds a License No. 0401416970 (VA). The current practice location address for Sang-Jin Samuel Nam is 6120 Brandon Ave Ste 317, Springfield, VA 22150-2504 and can be reached out via phone at 703-451-3303.
Provider Profile Details
- NPI Number
- 1164910154
- Provider Name
- Sang-Jin Samuel Nam
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 6120 Brandon Ave Ste 317, Springfield, VA 22150-2504
- Phone Number
- 703-451-3303
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 25, 2018
- Last Update Date
- December 19, 2020
- Certification Date
- December 19, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6120 Brandon Ave Ste 317
Springfield, VA 22150-2504 - City
- Springfield
- State
- Virginia
- Zip
- 22150-2504
- Phone Number
- 703-451-3303
Provider Business Mailing Address Details
- Address
- 1567 Main St
Springfield, MA 01103-1413 - City
- Springfield
- State
- MA
- Zip
- 01103-1413
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 0401416970
- License State (2)
- VA
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Springfield, VA
View all Dentist, General Practice providers in Springfield →Frequently Asked Questions
What is the NPI number of Dr. Sang-Jin S Nam, DDS?
The NPI number of Dr. Sang-Jin S Nam, DDS is 1164910154. It was assigned on April 25, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Sang-Jin S Nam, DDS?
Dr. Sang-Jin S Nam, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in VA under license number 0401416970.
Where does Dr. Sang-Jin S Nam, DDS practice?
The practice location is 6120 Brandon Ave Ste 317, Springfield, VA 22150-2504. The office can be reached at 703-451-3303 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164910154 directly on the NPPES registry website.