# THE VIRGINIA ENDODONTIC GROUP-GAINESVILLE PLC

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

## Provider details

- **NPI number:** 1164264578
- **Authorized official:** DR. BRIAN LEE DMD (OWNER)
- **Authorized official phone:** (703) 795-9911

## Contact information

- **Practice address:** 19500 SANDRIDGE WAY STE 270, LANSDOWNE, VA 20176-3693
- **Practice address phone:** (703) 257-7406
- **Mailing address:** 13575 HEATHCOTE BLVD STE 140, GAINESVILLE, VA 20155-6693
- **Mailing address phone:** (703) 795-9911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | Yes |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2024
- **Last updated:** 06/07/2024