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ALEXANDRIA CHILDREN'S DENTISTRY P.C. NPI 1205206257


NPI Information

NPI: 1205206257
Provider Name: ALEXANDRIA CHILDREN'S DENTISTRY, P.C.
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
6303 LITTLE RIVER TURNPIKE
SUITE 160
ALEXANDRIA, VA
ZIP 22312
Phone: (703) 942-8404
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ALEXANDRIA CHILDREN'S DENTISTRY, P.C. is a pediatric dentistry dentist in Alexandria, VA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. ALEXANDRIA CHILDREN'S DENTISTRY, P.C. NPI is 1205206257. The provider is registered as an organization entity type.

The provider's business location address is:

6303 LITTLE RIVER TURNPIKE
SUITE 160
ALEXANDRIA, VA
ZIP 22312
Phone: (703) 942-8404
Fax: (703) 890-8726

The provider's authorized official is Angela Lani Austin .
The authorized official title is Practice Owner and has the following contact phone number (703) 942-8404.

The enumeration date for this NPI number is 10/3/2015 and was last updated on 11/16/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental0401411222VIRGINIANo
21223P0221XDentistPediatric DentistryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1007687648MEDICAIDVIRGINIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.