# AK ENDODONTICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093442766
- **Authorized official:** ANA KIM DMD (ENDODONTIST)
- **Authorized official phone:** (301) 366-2237

## Contact information

- **Practice address:** 311 MAPLE AVE W STE J, VIENNA, VA 22180-4309
- **Practice address phone:** (301) 377-8306
- **Mailing address:** 311 MAPLE AVE W STE J, VIENNA, VA 22180-4309
- **Mailing address phone:** (571) 669-4088
- **Mailing address fax:** (301) 597-7757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223P0700X | Prosthodontics | — | NULL | — |
| 1223P0700X | Prosthodontics | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/03/2022
- **Last updated:** 06/02/2026