DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA NPI 1174558258

NPI Information

NPI: 1174558258
Provider Name: DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA

Doing Business As: FAIRFAX COUNTY DENTAL CLINIC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
10777 MAIN ST
SUITE 202
FAIRFAX, VA
ZIP 22030
Phone: (703) 246-8695
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DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA is a dental clinic center in Fairfax, VA. DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA NPI is 1174558258. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairfax County Dental Clinic.

The provider's business location address is:

10777 MAIN ST
SUITE 202
FAIRFAX, VA
ZIP 22030-903
Phone: (703) 246-8695

The provider's authorized official is Anthony Griffin .
The authorized official title is County Executive and has the following contact phone number (703) 324-3360.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 6/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental		VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	8451249	MEDICAID	VIRGINIA
2	8450251	MEDICAID	VIRGINIA
3	8451231	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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