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Pure Dental LLC

NPI 1487436556ActiveOrganization· Dentist, General Practice· Reston, VA

Dentist, General Practice in Reston, Virginia, registered in NPPES in October 2023. The authorized official on file is Jae-Woo Jung, DDS, Owner Doctor.

Overview

NPI1487436556
StatusActive
Entity typeOrganization
NPI issuedOct 13, 2023
Last updated in NPPESOct 13, 2023
Certified by providerOct 13, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 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, General Practice providers in Reston

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