| Springfield Complete Dentistry | |
|
5312 Carolina Place Springfield VA 22151-4401 | |
| (703) 354-8811 | |
| Not Available |
| Full Name | Springfield Complete Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5312 Carolina Place, Springfield, Virginia |
| Authorized Official Name and Position | Carmen Woods (INSURANCE/CREDENTIALING) |
| Authorized Official Contact | 2145405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Complete Dentistry 5312 Carolina Place Springfield VA 22151-4401 Ph: (703) 354-8811 | Springfield Complete Dentistry 5312 Carolina Place Springfield VA 22151-4401 Ph: (703) 354-8811 |
| NPI Number | 1922244813 |
|---|---|
| Provider Enumeration Date | 12/23/2008 |
| Last Update Date | 03/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922244813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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