| Springfield Dental Care | |
|
6800 Backlick Rd Ste 101 Springfield VA 22150-3069 | |
| (703) 569-2822 | |
| (703) 569-2829 |
| Full Name | Springfield Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 6800 Backlick Rd Ste 101, Springfield, Virginia |
| Authorized Official Name and Position | Asam Zaiber (MANAGER) |
| Authorized Official Contact | 7035692822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Dental Care 6800 Backlick Rd Ste 101 Springfield VA 22150-3069 Ph: (703) 569-2822 | Springfield Dental Care 6800 Backlick Rd Ste 101 Springfield VA 22150-3069 Ph: (703) 569-2822 |
| NPI Number | 1811627169 |
|---|---|
| Provider Enumeration Date | 06/10/2022 |
| Last Update Date | 06/10/2022 |
| Certification Date | 06/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811627169 | NPI | - | NPPES |
| 1962811950 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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