Dental Implant Specialists Of Virginia, Pc is a dental clinic (Dentist) in Tysons, Virginia. The current practice location for Dental Implant Specialists Of Virginia, Pc is 1500 Cornerside Blvd Ste 600, Tysons, Virginia. For appointments, you can reach them via phone at
(703) 620-3040. The mailing address for Dental Implant Specialists Of Virginia, Pc is 3500 Maple Ave Ste 1600, Dallas, Texas and phone number is (909) 732-0191.
Dental Implant Specialists Of Virginia, Pc is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1558066001. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(703) 620-3040.
Dental Care Clinic Profile
| Full Name | Dental Implant Specialists Of Virginia, Pc |
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| Speciality | Dentist |
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| Location | 1500 Cornerside Blvd Ste 600, Tysons, Virginia |
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| Authorized Official Name and Position | Mike Golpa (OWNER DENTIST) |
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| Authorized Official Contact | 7027687840 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dental Implant Specialists Of Virginia, Pc
3500 Maple Ave Ste 1600
Dallas
TX 75219-3936
Ph: (909) 732-0191 | Dental Implant Specialists Of Virginia, Pc
1500 Cornerside Blvd Ste 600
Tysons
VA 22182-2441
Ph: (703) 620-3040 |
NPI Details:
| NPI Number | 1558066001 |
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| Provider Enumeration Date | 04/04/2023 |
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| Last Update Date | 04/06/2023 |
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Medical Identifiers
Medical identifiers for Dental Implant Specialists Of Virginia, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558066001 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Secondary |
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