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Contact Information

MOUNT JACKSON DENTAL CARE, PLLC
5338 MAIN STREET
MOUNT JACKSON, VA22842
 Phone: 540-477-2901
 Fax: 540-477-2901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MOUNT JACKSON DENTAL CARE, PLLC

NPI # 1053167213
LBN Legal business name MOUNT JACKSON DENTAL CARE, PLLC
Authorized official MICHELE DEAVERS - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/29/2024
Last updated 04/29/2024 - About 2 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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