Fusion Dental

NPI #1255817730 in Mc Lean, Virginia

Provider Information

NPI Number: 1255817730
Entity Type: Organization
Organization Name: Fusion Dental
Subpart: Yes (part of a larger organization)
Parent Organization: GREATER MARYLAND DENTAL PARTNERS
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 17, 2018
Last Updated: Jul 17, 2018

Practice Location

Address: 1401 CHAIN BRIDGE RD
City: Mc Lean
State: Virginia
ZIP Code: 22101-6026
Phone: (703) 821-1633

Authorized Official

Name: JAIME BYERLY, DO
Title: DIRECTOR, OPERATIONS
Phone: (202) 699-1027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - General Practice — General Practice	1223G0001X	Primary

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