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Jae Kwon Bok DDS PC

NPI 1164692448ActiveOrganization· Dentist· Annandale, VA

Dentist in Annandale, Virginia, registered in NPPES in March 2008. The authorized official on file is Jae Bok, President.

Overview

NPI1164692448
StatusActive
Entity typeOrganization
NPI issuedMar 3, 2008
Last updated in NPPESMar 3, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist providers in Annandale

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