| |
3950 Fettler Park Dr Dumfries VA 22025-1997 | |
(703) 221-3295 | |
(703) 221-3492 |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 3950 Fettler Park Dr, Dumfries, Virginia |
Authorized Official Name and Position | Kim Wilson (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175405100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
3950 Fettler Park Dr Dumfries VA 22025-1997 Ph: (703) 221-3295 | 3950 Fettler Park Dr Dumfries VA 22025-1997 Ph: (703) 221-3295 |
NPI Number | 1922375542 |
---|---|
Provider Enumeration Date | 11/28/2011 |
Last Update Date | 11/28/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922375542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
J. David Alachnowicz Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3759 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-634-2529 | |
Zm Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17181 Wayside Dr, Dumfries, VA 22026 Phone: 703-445-9600 | |
Dentists Of Dumfries Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16820 Dumfires Rd Unit 110, Dumfries, VA 22025 Phone: 702-800-2760 |