# DENTAL PROFESSIONALS OF VIRGINIA, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL PROFESSIONALS OF VIRGINIA, P.C.
- **Other names:** Covel, Stack and Henon,DDS,P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215640933
- **Legal business name:** DENTAL PROFESSIONALS OF VIRGINIA, P.C.
- **Authorized official:** HILLARY THULL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-8946

## Contact information

- **Practice address:** 120 BEULAH RD NE STE 120, VIENNA, VA 22180-4745
- **Practice address phone:** (703) 938-2000
- **Mailing address:** 120 BEULAH RD NE STE 120, VIENNA, VA 22180-4745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2022
- **Last updated:** 12/27/2022