| Spa Creek Dental Of Va, Pllc | |
|
14540 John Marshall Highway Ste 103 Gainesville VA 20155 | |
| (267) 691-2800 | |
| (267) 691-2830 |
| Full Name | Spa Creek Dental Of Va, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 14540 John Marshall Highway Ste 103, Gainesville, Virginia |
| Authorized Official Name and Position | Amber Lloyd (ACCOUNTS RECEIVABLE SPECIALIST) |
| Authorized Official Contact | 2676912812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spa Creek Dental Of Va, Pllc 626 Jacksonville Rd Ste 101 Warminster PA 18974-4861 Ph: (877) 772-3368 | Spa Creek Dental Of Va, Pllc 14540 John Marshall Highway Ste 103 Gainesville VA 20155 Ph: (267) 691-2800 |
| NPI Number | 1730544784 |
|---|---|
| Provider Enumeration Date | 12/17/2015 |
| Last Update Date | 06/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730544784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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