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CARLOS ALAN HERESI DDS PC NPI 1053604512


NPI Information

NPI: 1053604512
Provider Name: CARLOS ALAN HERESI, DDS, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2501 FALL HILL AVE
SUITE A
FREDERICKSBURG, VA
ZIP 22401
Phone: (540) 371-6929
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CARLOS ALAN HERESI, DDS, PC is a general practice dentist in Fredericksburg, VA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CARLOS ALAN HERESI, DDS, PC NPI is 1053604512. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2501 FALL HILL AVE
SUITE A
FREDERICKSBURG, VA
ZIP 22401-345
Phone: (540) 371-6929

The provider's authorized official is Carlos Alan Heresi .
The authorized official title is Dentist and has the following contact phone number (540) 371-6929.

The enumeration date for this NPI number is 5/17/2011 and was last updated on 5/17/2011.


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
11223G0001XDentistGeneral Practice0401412533VIRGINIAYes

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: 11/14/2023

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