PURCELLVILLE PEDIATRIC DENTISTRY NPI 1760828297

NPI Information

  • NPI: 1760828297
  • Provider Name: PURCELLVILLE PEDIATRIC DENTISTRY
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 17333 PICKWICK DR
    PURCELLVILLE, VA
    ZIP 20132
  • Phone: (540) 441-7627

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NPI Details

PURCELLVILLE PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Purcellville, VA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PURCELLVILLE PEDIATRIC DENTISTRY NPI is 1760828297. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17333 PICKWICK DR
PURCELLVILLE, VA
ZIP 20132
Phone: (540) 441-7627

The provider's authorized official is Nooshin Monajemy .
The authorized official title is Owner and has the following contact phone number (540) 447-7627.

The enumeration date for this NPI number is 5/10/2013 and was last updated on 5/10/2013.

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
11223P0221XDentistPediatric Dentistry0401410184VIRGINIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1008220191MEDICAIDVIRGINIA

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: 3/30/2025

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