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MARK E GOLUB DDS PLC NPI 1114930310


NPI Information

NPI: 1114930310
Provider Name: MARK E GOLUB DDS PLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1451 BELLE HAVEN RD
SUITE 340
ALEXANDRIA, VA
ZIP 22307
Phone: (703) 765-3366
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MARK E GOLUB DDS PLC is a general practice dentist in Alexandria, 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. MARK E GOLUB DDS PLC NPI is 1114930310. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1451 BELLE HAVEN RD
SUITE 340
ALEXANDRIA, VA
ZIP 22307
Phone: (703) 765-3366
Fax: (703) 765-1419

The provider's authorized official is Mark Edward Golub .
The authorized official title is President and has the following contact phone number (703) 765-3366.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 8/22/2020.


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 Practice0401005546VIRGINIAYes

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

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