NPI 1467315903

Jason Wooju Kim

Practitioner Dental Hygienist Leesburg, VA

Practice location

Address: 163 Fort Evans Rd NE, Leesburg, VA 20176-4420
Phone: (703) 443-2000

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 0402207363 (VA)

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Registry record

NPI: 1467315903
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Dec 2025
Record last updated: 20 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.