Loudoun Center for Oral Surgery, Pllc

NPI #1881163699 in Sterling, Virginia

Provider Information

NPI Number: 1881163699
Entity Type: Organization
Organization Name: Loudoun Center for Oral Surgery, Pllc
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Nov 21, 2018
Last Updated: Nov 21, 2018

Practice Location

Address: 46161 WESTLAKE DR STE 200
City: Sterling
State: Virginia
ZIP Code: 20165-5871
Phone: (703) 544-9740

Authorized Official

Name: DR. JASON BAE, DDS, MD
Title: OWNER/ SURGEON
Phone: (703) 544-9740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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Jason Jin Soo Bae, D.D.S., M.D.	Dentist - Oral and Maxillofacial Surgery	Sterling	AI Deep Dive
DR. Edward Richard Hughes, D.D.S.	Dentist - Oral and Maxillofacial Surgery	Sterling	AI Deep Dive
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