| Prompt Dentistry | |
|
12005 Sunrise Valley Dr Ste 130 Reston VA 20191-3468 | |
| (571) 249-2839 | |
| Not Available |
| Full Name | Prompt Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12005 Sunrise Valley Dr Ste 130, Reston, Virginia |
| Authorized Official Name and Position | Punyawat Laohakanjanasiri (PRACTICE OWNER) |
| Authorized Official Contact | 5714463554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prompt Dentistry 12005 Sunrise Valley Dr Ste 130 Reston VA 20191-3534 Ph: (571) 446-3554 | Prompt Dentistry 12005 Sunrise Valley Dr Ste 130 Reston VA 20191-3468 Ph: (571) 249-2839 |
| NPI Number | 1275287112 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275287112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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