| Broadlands Complete Dental | |
|
43170 Southern Walk Plz Suite 116 Broadlands VA 20148-4464 | |
| (703) 957-7066 | |
| Not Available |
| Full Name | Broadlands Complete Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 43170 Southern Walk Plz, Broadlands, Virginia |
| Authorized Official Name and Position | Lindsay Bearden (INSURANE/CREDENTIALING) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadlands Complete Dental 43170 Southern Walk Plz Suite 116 Broadlands VA 20148-4464 Ph: (703) 957-7066 | Broadlands Complete Dental 43170 Southern Walk Plz Suite 116 Broadlands VA 20148-4464 Ph: (703) 957-7066 |
| NPI Number | 1104253186 |
|---|---|
| Provider Enumeration Date | 10/04/2013 |
| Last Update Date | 01/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104253186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Ashburn Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 42882 Truro Parish Dr, 208, Broadlands, VA 20148 Phone: 703-858-1904 Fax: 703-858-0840 |