# JARED J PELL DDS PC

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

## Provider details

- **NPI number:** 1659724805
- **Authorized official:** JARED J PELL (OWNER)
- **Authorized official phone:** (540) 667-8731

## Contact information

- **Practice address:** 1705 AMHERST ST, STE 102, WINCHESTER, VA 22601-3346
- **Practice address phone:** (540) 667-8731
- **Practice address fax:** (540) 662-5072
- **Mailing address:** 1705 AMHERST ST, STE 102, WINCHESTER, VA 22601-3346
- **Mailing address phone:** (540) 667-8731
- **Mailing address fax:** (540) 662-5072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2016
- **Last updated:** 07/22/2016