| Alexandria Advanced Dentistry | |
|
4660 Kenmore Ave Suite 318 Alexandria VA 22304-1313 | |
| (703) 751-7300 | |
| (703) 991-0556 |
| Full Name | Alexandria Advanced Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4660 Kenmore Ave, Alexandria, Virginia |
| Authorized Official Name and Position | Mark Smith (MANAGER) |
| Authorized Official Contact | 7037517300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandria Advanced Dentistry 4660 Kenmore Ave Suite 318 Alexandria VA 22304-1313 Ph: (703) 751-7300 | Alexandria Advanced Dentistry 4660 Kenmore Ave Suite 318 Alexandria VA 22304-1313 Ph: (703) 751-7300 |
| NPI Number | 1225169485 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225169485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401006438 (Virginia) | Primary |
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