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Contact Information

LOUDOUN ENDODONTICS, PLLC
2 CARDINAL PARK DR SE STE 106A
LEESBURG, VA20175-4448
 Phone: 703-779-7900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for LOUDOUN ENDODONTICS, PLLC

NPI Number 1588303556
LBN Legal business name LOUDOUN ENDODONTICS, PLLC
Authorized official MATTHEW DETAR - (OWNER/ENDODONTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/30/2022
Last updated 05/30/2022 - 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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