| James W Jelinek Dds & Susan A Yung Dds P C | |
|
60 Rock Pointe Ln Warrenton VA 20186-2630 | |
| (540) 349-0033 | |
| (540) 347-5872 |
| Full Name | James W Jelinek Dds & Susan A Yung Dds P C |
|---|---|
| Speciality | Dentist |
| Location | 60 Rock Pointe Ln, Warrenton, Virginia |
| Authorized Official Name and Position | James W Jelinek (OWNER) |
| Authorized Official Contact | 5403490033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James W Jelinek Dds & Susan A Yung Dds P C 60 Rock Pointe Ln Warrenton VA 20186-2630 Ph: (540) 349-0033 | James W Jelinek Dds & Susan A Yung Dds P C 60 Rock Pointe Ln Warrenton VA 20186-2630 Ph: (540) 349-0033 |
| NPI Number | 1104970490 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104970490 | NPI | - | NPPES |
| 234018 | Other | VA | ANTHEM PROVIDER |
| 234019 | Other | VA | ANTHEM PROVIDER |
| 817559 | Other | VA | UCCI PROVIDER |
| 00606001 | Other | VA | DELTA DENTAL PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6688 (Virginia) | Secondary |
| 122300000X | Dentist | 6730 (Virginia) | Primary |
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