# MARK P GERALD, DDS, PLLC

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

## Provider details

- **NPI number:** 1619806015
- **Authorized official:** DR. MARK GERALD DDS (DENTIST/OWNER)
- **Authorized official phone:** (703) 368-0580

## Contact information

- **Practice address:** 7518 DIPLOMAT DR STE 101, MANASSAS, VA 20109-2690
- **Practice address phone:** (703) 368-0580
- **Practice address fax:** (703) 368-3331
- **Mailing address:** 7518 DIPLOMAT DR STE 101, MANASSAS, VA 20109-2690
- **Mailing address phone:** (703) 368-0580
- **Mailing address fax:** (703) 368-3331

## Taxonomy

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

## Other

- **Enumeration date:** 05/14/2026
- **Last updated:** 05/14/2026