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DR. JAKLIN BEZIK D.D.S. M.D.S. NPI 1356480552


NPI Information

NPI: 1356480552
Provider Name: DR. JAKLIN BEZIK, D.D.S., M.D.S.,
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

PECOS Registration: Yes

Address:
11150 FAIRFAX BLVD
301
FAIRFAX, VA
ZIP 22030
Phone: (703) 934-4474
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DR. Jaklin Bezik, D.D.S., M.D.S., is a periodontics dentist in Fairfax, VA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Jaklin Bezik, D.D.S., M.D.S., NPI is 1356480552. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11150 FAIRFAX BLVD
301
FAIRFAX, VA
ZIP 22030-066
Phone: (703) 934-4474
Fax: (703) 934-4705

The NPI 1356480552 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 2/5/2007 and was last updated on 7/8/2007.


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
11223P0300XDentistPeriodonticsDEN1000297DISTRICT OF COLUMBIANo
21223P0300XDentistPeriodontics0401410580VIRGINIAYes

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.