# DALE P SHEWMAKER DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** POTOMAC VALLEY DENTAL CARE, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356714331
- **Legal business name:** POTOMAC VALLEY DENTAL CARE, PLLC
- **Authorized official:** DR. DALE P SHEWMAKER DDS (DENTIST/OWNER)
- **Authorized official phone:** (703) 385-6960

## Contact information

- **Practice address:** 10623 BRADDOCK RD, FAIRFAX, VA 22032-2202
- **Practice address phone:** (703) 385-6960
- **Mailing address:** 10623 BRADDOCK RD, FAIRFAX, VA 22032-2202
- **Mailing address phone:** (703) 385-6960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401005882 | VA | Yes |

## Other

- **Enumeration date:** 11/12/2015
- **Last updated:** 11/12/2015