Dental Professionals of Virginia, P.c.

NPI #1174259568 in Chantilly, Virginia

Provider Information

NPI Number: 1174259568
Entity Type: Organization
Organization Name: Dental Professionals of Virginia, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: HEARTLAND DENTAL CARE OF VIRGINIA, P.C
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 27, 2022
Last Updated: Jul 27, 2022

Practice Location

Address: 25739 BRANCH RAIL DR STE 160
City: Chantilly
State: Virginia
ZIP Code: 20152-4515
Phone: (571) 430-3535

Authorized Official

Name: CELIA HAYES
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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