Provider Demographics
NPI:1154216331
Name:YI, JUNE NATHAN (DDS)
Entity type:Individual
Prefix:DR
First Name:JUNE
Middle Name:NATHAN
Last Name:YI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4951 WESTCROFT BLVD APT 141
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-1572
Mailing Address - Country:US
Mailing Address - Phone:757-870-2397
Mailing Address - Fax:
Practice Address - Street 1:220 CULPEPER ST STE 201
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-3248
Practice Address - Country:US
Practice Address - Phone:540-347-3396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401419508122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist