| Gainesville Family Dental Center | |
|
9070 Devlin Rd Ste 120 Bristow VA 20136-1042 | |
| (703) 368-1272 | |
| (703) 369-6121 |
| Full Name | Gainesville Family Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9070 Devlin Rd Ste 120, Bristow, Virginia |
| Authorized Official Name and Position | Margaret P Neal-stubblefield (DENTIST/OWNER) |
| Authorized Official Contact | 7033681272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gainesville Family Dental Center 9070 Devlin Rd Ste 120 Bristow VA 20136-1042 Ph: (703) 368-1272 | Gainesville Family Dental Center 9070 Devlin Rd Ste 120 Bristow VA 20136-1042 Ph: (703) 368-1272 |
| NPI Number | 1912029695 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 02/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912029695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401410227 (Virginia) | Primary |
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