Prince William Parkway Dental Pc

LBN: Prince William Parkway Dental Pc
Prince William Parkway Dental Pc is an health care organization with primary practice located at 2542 Prince William Pkwy Ste 120 , Woodbridge VA 22192-4149. The organization recently has 5 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics. Dental Providers / General Practice is the primary health care specialty. Prince William Parkway Dental Pc can be contacted via phone (770) 916-9000, or through Mayfield, Dale via phone (770) 916-5036.

Contact Information

Primary practice address
2542 Prince William Pkwy Ste 120 Woodbridge VA 22192-4149
Phone: (770) 916-9000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mayfield, Dale
Phone: (770) 916-5036

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Periodontics 1223P0300X

Profile Details

NPI number 1154892677
LBN Legal business name Prince William Parkway Dental Pc
DBA Doing business as
Authorized official Mayfield, Dale
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2018
Last updated Dec 10th, 2018 - about 6 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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