Pediatric And Adolescent Dentistry Pc
LBN: Pediatric And Adolescent Dentistry Pc
Pediatric And Adolescent Dentistry Pc is an health care organization with primary practice located at 4605D Pinecrest Office Park Dr , Alexandria VA 22312-1442. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
Pediatric And Adolescent Dentistry Pc can be contacted via phone (703) 352-4121, or through Ghalehbaghi, Faranak via phone (703) 352-4121.
Contact Information
Primary practice address
4605D Pinecrest Office Park Dr
Alexandria VA 22312-1442
Phone: (703) 352-4121
Fax:
Website:
Authorized official contact:
Name: Ghalehbaghi, Faranak Doctor of Dental Surgery (DDS)
Phone: (703) 352-4121
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 0401008254 | Virginia |
Profile Details
| NPI number | 1558639906 |
|---|---|
| LBN Legal business name | Pediatric And Adolescent Dentistry Pc |
| DBA Doing business as | |
| Authorized official | Ghalehbaghi, Faranak Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 13th, 2011 |
| Last updated | Dec 13th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558639906 | NPPES |
| Virginia | MEDICAID | 1821308115 | |
| Virginia | MEDICAID | 1548359649 |
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