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Contact Information

ACDG LLC
1731 CLARENDON BLVD
ARLINGTON, VA22209-2741
 Phone: 703-812-8800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ACDG LLC

NPI Number 1760804389
LBN Legal business name ACDG LLC
Authorized official MARIAH SHOJAEI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/16/2014
Last updated 01/16/2014 - About 12 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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