PROMENADE COMPLETE DENTAL CENTER NPI 1750838363

NPI Information

NPI: 1750838363
Provider Name: PROMENADE COMPLETE DENTAL CENTER
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
19340 PROMENADE DRIVE
LEESBURG, VA
ZIP 20176
Phone: (571) 333-8558
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PROMENADE COMPLETE DENTAL CENTER is a dental clinic center in Leesburg, VA. PROMENADE COMPLETE DENTAL CENTER NPI is 1750838363. The provider is registered as an organization entity type.

The provider's business location address is:

19340 PROMENADE DRIVE
LEESBURG, VA
ZIP 20176
Phone: (571) 333-8558

The provider's authorized official is Lisa Champney .
The authorized official title is Office Manager and has the following contact phone number (571) 333-8558.

The enumeration date for this NPI number is 9/1/2016 and was last updated on 9/1/2016.

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
1	261QD0000X	Clinic/Center	Dental		VIRGINIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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