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PREMIER DENTAL ARTS LLC NPI 1992117741


NPI Information

NPI: 1992117741
Provider Name: PREMIER DENTAL ARTS, LLC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
4001 FAIR RIDGE DR STE 105
FAIRFAX, VA
ZIP 22033
Phone: (703) 865-6276
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PREMIER DENTAL ARTS, LLC is a preferred provider organization in Fairfax, VA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. PREMIER DENTAL ARTS, LLC NPI is 1992117741. The provider is registered as an organization entity type.

The provider's business location address is:

4001 FAIR RIDGE DR STE 105
FAIRFAX, VA
ZIP 22033-917
Phone: (703) 865-6276
Fax: (888) 492-5156

The provider's authorized official is Fan Yu .
The authorized official title is Dentist /owner and has the following contact phone number (703) 865-6276.

The enumeration date for this NPI number is 5/28/2014 and was last updated on 5/28/2014.


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
1305R00000XPreferred Provider Organization0401413342VIRGINIAYes

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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