# JERROLD H EPSTEIN DOS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043324072
- **Authorized official:** DR. JERROLD HART EPSTEIN DDS (PRESIDENT)
- **Authorized official phone:** (703) 922-5404

## Contact information

- **Practice address:** 6200 A OLD FRANCONIA ROAD, ALEXANDRIA, VA 22310-3408
- **Practice address phone:** (703) 922-5404
- **Practice address fax:** (703) 922-5406
- **Mailing address:** 6200 A OLD FRANCONIA ROAD, ALEXANDRIA, VA 22310-3408
- **Mailing address phone:** (703) 922-5404
- **Mailing address fax:** (703) 922-5406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401006483 | VA | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 782130 | UNITED CONCORDIA INSURANC | — |