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POTOMAC DENTAL CARE PC NPI 1578841961


NPI Information

NPI: 1578841961
Provider Name: POTOMAC DENTAL CARE PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1912 OPITZ BLVD
WOODBRIDGE, VA
ZIP 22191
Phone: (703) 490-4666
Get Directions

POTOMAC DENTAL CARE PC is a general practice dentist in Woodbridge, 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. POTOMAC DENTAL CARE PC NPI is 1578841961. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1912 OPITZ BLVD
WOODBRIDGE, VA
ZIP 22191-304
Phone: (703) 490-4666
Fax: (703) 490-4667

The provider's authorized official is Rasha Alathari .
The authorized official title is Office Manager and has the following contact phone number (703) 490-4666.

The enumeration date for this NPI number is 8/2/2011 and was last updated on 8/2/2011.


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 Practice0401411247VIRGINIAYes

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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