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FREDERICKSBURG DENTAL PROFESSIONALSPLLC NPI 1457664039


NPI Information

NPI: 1457664039
Provider Name: FREDERICKSBURG DENTAL PROFESSIONALS,PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4510 PLANK RD
SUITE # 100
FREDERICKSBURG, VA
ZIP 22407
Phone: (540) 412-9527
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FREDERICKSBURG DENTAL PROFESSIONALS,PLLC is a general practice dentist in Fredericksburg, 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. FREDERICKSBURG DENTAL PROFESSIONALS,PLLC NPI is 1457664039. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4510 PLANK RD
SUITE # 100
FREDERICKSBURG, VA
ZIP 22407-138
Phone: (540) 412-9527

The provider's authorized official is Nadeem Qureshi .
The authorized official title is Dentist/owner and has the following contact phone number (540) 412-9527.

The enumeration date for this NPI number is 7/23/2010 and was last updated on 7/23/2010.


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 Practice0401411976VIRGINIAYes

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
111597MEDICAIDVIRGINIA

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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