IndividualActive
Young Koo
NPI 1861776387 · General Practice Dentistry · Fairfax, VA
Young Koo is a General Practice Dentistry provider in Fairfax, VA (NPI 1861776387).
Provider details
- NPI number
- 1861776387
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0401413381 (VA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4138 Fountainside Ln
303
Fairfax, VA 22030-7437
Phone: (917) 407-4253
Street-level locationGet directions
Mailing address
4138 Fountainside Ln
Fairfax, VA 22030-7437
Registry dates
- Enumerated
- 2011-10-03
- Last updated
- 2011-10-03
Frequently asked questions
- What is Young Koo's NPI number?
- Young Koo's National Provider Identifier (NPI) is 1861776387, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Young Koo's specialty?
- Young Koo is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Young Koo located?
- Young Koo's practice location on file with NPPES is 4138 Fountainside Ln, Fairfax, VA 22030-7437.
- What is Young Koo's phone number?
- The practice phone number listed in the NPPES registry for Young Koo is (917) 407-4253.
- Is Young Koo's NPI active?
- Yes — Young Koo's NPI (1861776387) is active in the NPPES registry as of the last update on 2011-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.