Individual provider · Type 1 NPI

Jason Wooju Kim

Dental Hygienist · Leesburg, VA

NPI number 1467315903 Active

Practice location

163 Fort Evans Rd NE
Leesburg, VA 20176-4420

Call (703) 443-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X0402207363 (VA)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1467315903

Jason Wooju Kim's National Provider Identifier is 1467315903, issued on Dec 3, 2025. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Leesburg, VA. The record was last updated on Mar 20, 2026.