| Dental Professionals Of Virginia, P.c. | |
|
25739 Branch Rail Dr Ste 160 Chantilly VA 20152-4515 | |
| (571) 430-3535 | |
| (571) 430-3538 |
| Full Name | Dental Professionals Of Virginia, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 25739 Branch Rail Dr Ste 160, Chantilly, Virginia |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals Of Virginia, P.c. 25739 Branch Rail Dr Ste 160 Chantilly VA 20152-4515 Ph: (571) 430-3535 | Dental Professionals Of Virginia, P.c. 25739 Branch Rail Dr Ste 160 Chantilly VA 20152-4515 Ph: (571) 430-3535 |
| NPI Number | 1174259568 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 07/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174259568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Mark A Grimes Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4437 Brookfield Corporate Drive, #107, Chantilly, VA 20151 Phone: 703-222-5400 Fax: 703-222-0470 | |
Chantilly Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3901 Centerview Dr, Suite #t, Chantilly, VA 20151 Phone: 703-467-0214 Fax: 703-467-0568 | |
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