# JB DENTAL ASSOCIATES AND TMD SLEEP CENTER, PLLC

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

## Provider details

- **NPI number:** 1902477482
- **Authorized official:** DR. JOYCE H BAHNG DMD (PRESIDENT)
- **Authorized official phone:** (703) 444-4188

## Contact information

- **Practice address:** 46161 WESTLAKE DR STE 310, STERLING, VA 20165-5871
- **Practice address phone:** (703) 444-4188
- **Practice address fax:** (703) 444-4309
- **Mailing address:** 46161 WESTLAKE DR STE 310, STERLING, VA 20165-5871
- **Mailing address phone:** (703) 444-4188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 07/07/2021
- **Last updated:** 07/07/2021