# MARK E GOLUB DDS PLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1114930310
- **Authorized official:** DR. MARK EDWARD GOLUB (PRESIDENT)
- **Authorized official phone:** (703) 765-3366

## Contact information

- **Practice address:** 1451 BELLE HAVEN RD, SUITE 340, ALEXANDRIA, VA 22307
- **Practice address phone:** (703) 765-3366
- **Practice address fax:** (703) 765-1419
- **Mailing address:** 1451 BELLE HAVEN RD, SUITE 340, ALEXANDRIA, VA 22307
- **Mailing address phone:** (703) 765-3366
- **Mailing address fax:** (703) 765-1419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401005546 | VA | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 08/22/2020