Addax Dental Pllc

LBN: Addax Dental Pllc
Addax Dental Pllc is an health care organization with primary practice located at 546 E Market St , Leesburg VA 20176-4112. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Addax Dental Pllc can be contacted via phone (703) 777-5939, or through Doe, Michael via phone (703) 777-5939.

Contact Information

Primary practice address
546 E Market St Leesburg VA 20176-4112
Phone: (703) 777-5939
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Doe, Michael Doctor of Dental Medicine (DMD)
Phone: (703) 777-5939

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401413091 Virginia

Profile Details

NPI number 1154692408
LBN Legal business name Addax Dental Pllc
DBA Doing business as
Authorized official Doe, Michael Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2012
Last updated Jan 18th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154692408 NPPES
Massachusetts MEDICAID 110088059A

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