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DELRAY PROSTHODONTICS CENTER NPI 1275292286


NPI Information

NPI: 1275292286
Provider Name: DELRAY PROSTHODONTICS CENTER

Doing Business As: DENTAL EXCELLENCE INTEGRATIVE CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3116 MOUNT VERNON AVE
ALEXANDRIA, VA
ZIP 22305
Phone: (703) 745-5496
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DELRAY PROSTHODONTICS CENTER 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. DELRAY PROSTHODONTICS CENTER NPI is 1275292286. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dental Excellence Integrative Center.

The provider's business location address is:

3116 MOUNT VERNON AVE
ALEXANDRIA, VA
ZIP 22305-639
Phone: (703) 745-5496

The provider's authorized official is Joongseo Kim .
The authorized official title is Owner and has the following contact phone number (703) 587-4865.

The enumeration date for this NPI number is 12/17/2021 and was last updated on 2/6/2022.


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 PracticeYes

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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