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MERRIFIELD DENTAL GROUP PLLC NPI 1790486827


NPI Information

NPI: 1790486827
Provider Name: MERRIFIELD DENTAL GROUP PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2810 OLD LEE HWY STE 200A
FAIRFAX, VA
ZIP 22031
Phone: (703) 945-2200
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MERRIFIELD DENTAL GROUP PLLC is a general practice dentist in Fairfax, 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. MERRIFIELD DENTAL GROUP PLLC NPI is 1790486827. The provider is registered as an organization entity type.

The provider's business location address is:

2810 OLD LEE HWY STE 200A
FAIRFAX, VA
ZIP 22031-376
Phone: (703) 945-2200

The provider's authorized official is Geith Kallas .
The authorized official title is Owner and has the following contact phone number (703) 622-3300.

The enumeration date for this NPI number is 3/15/2023 and was last updated on 12/18/2023.


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
1261QD0000XClinic/CenterDentalNo
21223G0001XDentistGeneral 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: 5/5/2024

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