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Contact Information

RICHARD J. DELLORK, DDS
124 PARK ST SE
SUITE 205
VIENNA, VA22180-4654
 Phone: 703-281-5522
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for RICHARD J. DELLORK, DDS

NPI # 1689865578
LBN Legal business name RICHARD J. DELLORK, DDS
Authorized official RICHARD DELLORK - (SOLE PROPRIETOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/06/2007
Last updated 08/06/2007 - About 19 years ago
Identifiers
VA License # 6478
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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