Loudoun County Health Department-Dental Clinic

LBN: Commonwealth Of Virginia State Board Of Health
Loudoun County Health Department-Dental Clinic is an health care organization with primary practice located at 102 Heritage Way Ne 1St Floor Suite #100, Leesburg VA 20176. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Commonwealth Of Virginia State Board Of Health can be contacted via phone (703) 771-5830, or through Goodfriend, David via phone (703) 771-5829.

Contact Information

Primary practice address
102 Heritage Way Ne 1St Floor Suite #100 Leesburg VA 20176
Fax: (703) 771-5550
Website:
Authorized official contact:
Name: Goodfriend, David Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1457450421
LBN Legal business name Commonwealth Of Virginia State Board Of Health
DBA Doing business as Loudoun County Health Department-Dental Clinic
Authorized official Goodfriend, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Feb 6th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457450421 NPPES
Virginia MEDICAID 0013769

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