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ALEXANDRIA CHILDREN'S DENTISTRY PC NPI 1205206257


NPI Information

NPI: 1205206257
Provider Name: ALEXANDRIA CHILDREN'S DENTISTRY, PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
6303 LITTLE RIVER TPKE
SUITE 345
ALEXANDRIA, VA
ZIP 22312
Phone: (703) 942-8404
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ALEXANDRIA CHILDREN'S DENTISTRY, PC is a dental clinic center in Alexandria, VA. ALEXANDRIA CHILDREN'S DENTISTRY, PC NPI is 1205206257. The provider is registered as an organization entity type.

The provider's business location address is:

6303 LITTLE RIVER TPKE
SUITE 345
ALEXANDRIA, VA
ZIP 22312-000
Phone: (703) 942-8404

The provider's authorized official is Angela Lani Austin .
The authorized official title is Pediatric Dentist/owner and has the following contact phone number (202) 257-0727.

The enumeration date for this NPI number is 10/3/2015 and was last updated on 10/3/2015.


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
1261QD0000XClinic/CenterDental0401411222VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1007687648MEDICAIDVIRGINIA

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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