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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 Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
Indicates primary specialty

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

NPI Number 1821443672
LBN Legal business name H. CHARLES JELINEK JR. D.D.S.
Authorized official ALLISON PLATT - (OFFICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/29/2016
Last updated 04/29/2016 - About 10 years ago
Identifiers
VA License # 0401007079
VA Other 7394890001 MEDICARE PTAN
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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