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Contact Information

CORE DENTISTRY LLC
117 COURTHOUSE LN
BOWLING GREEN, VA22427
 Phone: 804-633-6040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CORE DENTISTRY LLC

NPI # 1073457818
LBN Legal business name CORE DENTISTRY LLC
Authorized official JAEHOON JUNG - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/14/2026
Last updated 04/14/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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