Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jae Kwon Bok

Individual provider General Practice Dentistry · NPI 1487756441

Jae Kwon Bok is a General Practice Dentistry in Annandale, Virginia. Licensed in Illinois and Virginia. Registered with an NPI since 2006.

Licensed in
IL, VA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

7535 Little River Tpke # 100 E
Annandale, VA 22003-2937
Phone: (703) 336-3818
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 0401411726 (VA)
General Practice Dentistry Taxonomy 1223G0001X (IL)

Record details

NPI number1487756441
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 1, 2006
Last updated in NPPESFebruary 3, 2008
Mailing address7535 Little River Tpke, 100 E, Annandale, VA 22003-2937

Other providers in Annandale