LAN D. DUCKETT DDS PC NPI 1164694824

NPI Information

LAN D. DUCKETT DDS PC is a general practice dentist in Falls Church, 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. LAN D. DUCKETT DDS PC NPI is 1164694824. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 W BROAD ST
STE 510
FALLS CHURCH, VA
ZIP 22046-229
Phone: (703) 241-5775
Fax: (703) 241-2749

The provider's authorized official is Lan D Duckett .
The authorized official title is President and has the following contact phone number 70324105775.

The enumeration date for this NPI number is 4/2/2008 and was last updated on 4/2/2008.

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:

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