Galleria Dental Aesthetics

LBN: Gd Va Gda Pllc
Galleria Dental Aesthetics is an health care organization with primary practice located at 1600 Tysons Blvd Ste 120 , Mc Lean VA 22102-4882. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty. Gd Va Gda Pllc can be contacted via phone (703) 527-1020, or through Hendricks, Chad via phone (612) 859-0444.

Contact Information

Primary practice address
1600 Tysons Blvd Ste 120 Mc Lean VA 22102-4882
Phone: (703) 527-1020
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hendricks, Chad
Phone: (612) 859-0444

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1699477463
LBN Legal business name Gd Va Gda Pllc
DBA Doing business as Galleria Dental Aesthetics
Authorized official Hendricks, Chad
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2023
Last updated Jul 5th, 2023 - about last year

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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