Mclean Oral & Maxillofacial Surgery

LBN: Mclean Oral & Maxillofacial Surgery
Mclean Oral & Maxillofacial Surgery is an health care organization with primary practice located at 1515 Chain Bridge Rd Suite 206, Mc Lean VA 22101-4451. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Mclean Oral & Maxillofacial Surgery can be contacted via phone (703) 893-8800, or through Foretich, Eric A via phone (703) 893-8800.

Contact Information

Primary practice address
1515 Chain Bridge Rd Suite 206 Mc Lean VA 22101-4451
Phone: (703) 893-8800
Fax: (703) 893-8845
Website:
Map and Directions
Authorized official contact:
Name: Foretich, Eric A D.D.S., M.A.
Phone: (703) 893-8800

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 3844 Virginia

Profile Details

NPI number 1760673214
LBN Legal business name Mclean Oral & Maxillofacial Surgery
DBA Doing business as
Authorized official Foretich, Eric A D.D.S., M.A.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2007
Last updated Aug 8th, 2007 - about 17 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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