J. BRIAN QUEEN DDS PC NPI 1174508196

NPI Information

  • NPI: 1174508196
  • Provider Name: J. BRIAN QUEEN, DDS, PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 102 ELDEN ST
    SUITE 20
    HERNDON, VA
    ZIP 20170
  • Phone: (703) 689-2480

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NPI Details

J. BRIAN QUEEN, DDS, PC is a general practice dentist in Herndon, 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. J. BRIAN QUEEN, DDS, PC NPI is 1174508196. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

102 ELDEN ST
SUITE 20
HERNDON, VA
ZIP 20170-868
Phone: (703) 689-2480
Fax: (703) 689-2482

The provider's authorized official is J. Brian Queen .
The authorized official title is Owner/dentist and has the following contact phone number (703) 689-2480.

The enumeration date for this NPI number is 12/13/2005 and was last updated on 2/6/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice0401007661VIRGINIAYes

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: 11/21/2025

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