Dedicated Dental Pllc

LBN: Dedicated Dental Pllc
Dedicated Dental Pllc is an health care organization with primary practice located at 11 Hope Rd Ste 201 , Stafford VA 22554-7287. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Dedicated Dental Pllc can be contacted via phone (540) 899-1777, or through Waller, Carter M via phone (561) 901-4700.

Contact Information

Primary practice address
11 Hope Rd Ste 201 Stafford VA 22554-7287
Phone: (540) 899-1777
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Waller, Carter M Doctor of Dental Medicine (DMD)
Phone: (561) 901-4700

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1700469103
LBN Legal business name Dedicated Dental Pllc
DBA Doing business as
Authorized official Waller, Carter M Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2021
Last updated May 3rd, 2021 - about 5 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 1700469103 NPPES
Virginia Other 0401413995 DENTAL LICENSE NUMBER
Virginia Other 0401416501 DENTAL LICENSE NUMBER

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