Kirksey, Charles Douglas
Kirksey, Charles Douglas is an individual health care provider with primary practice located at 10611 Judicial Dr , Fairfax VA 22030-5165. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kirksey, Charles Douglas can be contacted via phone (703) 385-0303.Contact Information
Primary practice address
10611 Judicial Dr
Fairfax VA 22030-5165
Phone: (703) 385-0303
Fax: (703) 385-1445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401005454 | Virginia |
Profile Details
| NPI number | 1871768622 |
|---|---|
| LBN Legal business name | Kirksey, Charles Douglas |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2008 |
| Last updated | Sep 15th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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