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Contact Information

AESTHETIC DENTISTRY OF LORTON
7764 ARMISTEAD ROAD
SUITE 100
LORTON, VA22079-1918
 Phone: 703-339-5090
 Fax: 703-339-1068
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dental Hygienist

124Q00000X
 

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for AESTHETIC DENTISTRY OF LORTON

NPI # 1528396330
LBN Legal business name AESTHETIC DENTISTRY OF LORTON
Authorized official VALERIE BECKER - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/07/2009
Last updated 07/05/2011 - About 15 years ago
Identifiers
VA License # 0401410574
VA License # 0401411477
VA License # 0402002410
VA License # 0402203732
VA License # 4477
VA License # 5997
VA Other 1902221 UCCI
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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