Dr Jaw, Pllc

LBN: Dr Jaw, Pllc
Dr Jaw, Pllc is an health care organization with primary practice located at 4210 Fairfax Corner Ave W Ste 201A , Fairfax VA 22030-8619. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Dr Jaw, Pllc can be contacted via phone (540) 225-2259, or through Kriegh, Paula via phone (540) 225-2259.

Contact Information

Primary practice address
4210 Fairfax Corner Ave W Ste 201A Fairfax VA 22030-8619
Phone: (540) 225-2259
Fax: (540) 225-2253
Website:
Map and Directions
Authorized official contact:
Name: Kriegh, Paula
Phone: (540) 225-2259

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1396486940
LBN Legal business name Dr Jaw, Pllc
DBA Doing business as
Authorized official Kriegh, Paula
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2022
Last updated Apr 6th, 2022 - about 2 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 1396486940 NPPES
Virginia MEDICAID 0401414186

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