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Contact Information

NOVA AFFORDABLE DENTAL IMPLANT
8209 SUDLEY RD
MANASSAS, VA20109-3507
 Phone: 571-260-6222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Endodontics

1223E0200X
 

Pediatric Dentistry

1223P0221X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for NOVA AFFORDABLE DENTAL IMPLANT

NPI Number 1245985266
LBN Legal business name NOVA AFFORDABLE DENTAL IMPLANT
Authorized official AHMED MATRI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/17/2022
Last updated 02/17/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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