| Welstead & Rosinski Llc Dba The Leesburg Dentists | |
|
706 S. King Street Suite 5 Leesburg VA 20175 | |
| (703) 771-8500 | |
| (703) 771-9541 |
| Full Name | Welstead & Rosinski Llc Dba The Leesburg Dentists |
|---|---|
| Speciality | Dentist |
| Location | 706 S. King Street, Leesburg, Virginia |
| Authorized Official Name and Position | Llewellyn Welsread (OWNER) |
| Authorized Official Contact | 7037718500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Welstead & Rosinski Llc Dba The Leesburg Dentists 706 S. King Street Suite 5 Leesburg VA 20175 Ph: (703) 771-8500 | Welstead & Rosinski Llc Dba The Leesburg Dentists 706 S. King Street Suite 5 Leesburg VA 20175 Ph: (703) 771-8500 |
| NPI Number | 1215028303 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 11/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215028303 | NPI | - | NPPES |
| 078792 | Other | VA | BCBS INS PROVIDER |
| 541465992 | Other | VA | DELTA INS PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | VA0401006767 (Virginia) | Primary |
| 122300000X | Dentist | VA0401006762 (Virginia) | Secondary |
| 122300000X | Dentist | VA0401008876 (Virginia) | Secondary |
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