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Contact Information

PEARLBRITE DENTAL
14631 LEE HWY STE 116
CENTREVILLE, VA20121-5825
 Phone: 703-988-9006
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
 

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for PEARLBRITE DENTAL

NPI # 1033579123
LBN Legal business name PEARLBRITE DENTAL
Authorized official JOONGSEO KIM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/02/2016
Last updated 03/02/2016 - About 10 years ago
Identifiers
MD License # 12296
VA License # 0401008847
VA License # 0401413569
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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