| Charles D Kirksey Dds Llc & Associates | |
|
10611 Judicial Dr Fairfax VA 22030-5165 | |
| (703) 385-0303 | |
| (703) 385-1445 |
| Full Name | Charles D Kirksey Dds Llc & Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10611 Judicial Dr, Fairfax, Virginia |
| Authorized Official Name and Position | Ashley K Rowland (OFFICE MANAGER) |
| Authorized Official Contact | 7033850303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles D Kirksey Dds Llc & Associates 10611 Judicial Dr Fairfax VA 22030-5165 Ph: (703) 385-0303 | Charles D Kirksey Dds Llc & Associates 10611 Judicial Dr Fairfax VA 22030-5165 Ph: (703) 385-0303 |
| NPI Number | 1871584110 |
|---|---|
| Provider Enumeration Date | 11/04/2005 |
| Last Update Date | 09/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871584110 | NPI | - | NPPES |
| 001382 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5454 (Virginia) | Primary |
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