<Unavail>

LBN: Tesfaye A Hailemariam Dds Pc
<Unavail> is an health care organization with primary practice located at 5764 Dow Ave , Alexandria VA 22304. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Tesfaye A Hailemariam Dds Pc can be contacted via phone (703) 256-7711, or through Hailemariam, Tesfaye via phone (703) 256-7711.

Contact Information

Primary practice address
5764 Dow Ave Alexandria VA 22304
Phone: (703) 256-7711
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hailemariam, Tesfaye Doctor of Dental Surgery (DDS)
Phone: (703) 256-7711

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401410490 Virginia

Profile Details

NPI number 1659827871
LBN Legal business name Tesfaye A Hailemariam Dds Pc
DBA Doing business as <Unavail>
Authorized official Hailemariam, Tesfaye Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2016
Last updated May 17th, 2017 - about 9 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 1659827871 NPPES
Virginia MEDICAID 104989

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