National Provider Identifier Database

H CHARLES JELINEK JR DDS
Customized Equipment


Contact Information

H. CHARLES JELINEK JR. D.D.S.
8505 ARLINGTON BLVD.
STE. 260
FAIRFAX, VA22031
Phone: 703-560-8700
Fax: 703-560-1745
Website:
Specialty Taxonomy Code
* Customized Equipment 332BC3200X

* Indicates primary specialty

NPI Profile & details for H. CHARLES JELINEK JR. D.D.S.

NPI Number 1821443672
Legal business name
LBN
H. CHARLES JELINEK JR. D.D.S.
Authorized official ALLISON PLATT - (OFFICE ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 04/29/2016
Last updated 04/29/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0401007079
  • VA Other: 7394890001 MEDICARE PTAN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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