# BSAA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Progressive Dental of Fredericksburg
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083433890
- **Authorized official:** DR. WINFIELD SCOTT SHIRK DDS (OWNER)
- **Authorized official phone:** (540) 785-3733

## Contact information

- **Practice address:** 1239 CENTRAL PARK BLVD, FREDERICKSBURG, VA 22401-4912
- **Practice address phone:** (540) 785-3733
- **Practice address fax:** (540) 785-0939
- **Mailing address:** 1239 CENTRAL PARK BLVD, FREDERICKSBURG, VA 22401-4912
- **Mailing address phone:** (540) 785-3733
- **Mailing address fax:** (540) 785-0939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/08/2024
- **Last updated:** 10/08/2024