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Contact Information

DENTAL IMPLANT SPECIALISTS OF VIRGINIA, PC
1500 CORNERSIDE BLVD STE 600
TYSONS, VA22182-2441
 Phone: 703-620-3040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for DENTAL IMPLANT SPECIALISTS OF VIRGINIA, PC

NPI # 1558066001
LBN Legal business name DENTAL IMPLANT SPECIALISTS OF VIRGINIA, PC
Authorized official MIKE GOLPA - (OWNER DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/04/2023
Last updated 04/06/2023 - About 3 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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