Dental Family Practice, NPI 1558483305
General Practice Dentistry in Lake Ridge, VA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1558483305
NPI Entity Type Organization
Provider Name Dental Family Practice
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 12724 Directors Loop, Lake Ridge, VA, US
Provider Mailing Address 12724 Directors Loop, Lake Ridge, VA, US, 221922462
Is Sole Proprietor? No
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Organization Official

Official Name DR. DMD Mina T Mostofi
Official Position DENTIST
Phone 703-494-9171

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

1223G0001X

Taxonomy Name General Practice Dentistry
Classification

Dentist

Group

Dental Providers

License No. 0401007810
License State VA
Description A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Other Organization Name

Lake Ridge Dental Clinic
Other Name

Business Address

Dental Family Practice
12724 Directors Loop

Lake Ridge, VA, US

Phone: 703-494-9171
Fax: 703-490-4066

Mailing Address

Dental Family Practice
12724 Directors Loop
Lake Ridge, VA, US
ZIP 221922462
Phone: 703-494-9171
Fax: 703-490-4066

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

1223P0300X

Dental Providers

Dentist

0401008961 VA No

1223X0400X

Dental Providers

Dentist

0401410790 VA No

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