Tremont Road Dental Super, P.c.
NPI #1255524120 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1255524120
- Entity Type
- Organization
- Organization Name
- Tremont Road Dental Super, P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 23, 2007
- Last Updated
- Jan 18, 2024
Practice Location
- Address
- 2000 DANIEL STUART SQ
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22191-3315
- Phone
- (770) 916-9000
Authorized Official
- Name
- MICHELLE JACOMINO
- Title
- DIRECTOR OF PAYOR RELATIONS
- Phone
- (770) 916-5036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - Endodontics — Endodontics |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - General Practice — General Practice |
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