# NORBO DENTAL, PLLC

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

## Provider details

- **NPI number:** 1639543481
- **Legal business name:** POTOMAC VALLEY DENTAL CARE, PLLC
- **Authorized official:** DR. KIRK MYRON NORBO D.M.D. (DENTIST/OWNER)
- **Authorized official phone:** (540) 338-7325

## Contact information

- **Practice address:** 441 E MAIN ST, PURCELLVILLE, VA 20132-3170
- **Practice address phone:** (540) 338-7325
- **Practice address fax:** (540) 338-9117
- **Mailing address:** PO BOX 300, PURCELLVILLE, VA 20134-0300
- **Mailing address phone:** (540) 338-7325
- **Mailing address fax:** (540) 338-9117

## Taxonomy

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

## Other

- **Enumeration date:** 11/17/2015
- **Last updated:** 11/17/2015