# DENTRUST DENTAL VIRGINIA, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTRUST DENTAL VIRGINIA PC
- **Other names:** DOCS Ft. Belvoir
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679248926
- **Legal business name:** DENTRUST DENTAL VIRGINIA PC
- **Authorized official:** AMANDA ANNE CLARK (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (267) 927-5000

## Contact information

- **Practice address:** 8651 JOHN J KINGMAN RD BLDG 2321, FT BELVOIR, VA 22060-6200
- **Practice address phone:** (267) 927-5000
- **Mailing address:** 1221 VINEWOOD DR, SEFFNER, FL 33584-4829
- **Mailing address phone:** (813) 451-4503

## Taxonomy

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

## Other

- **Enumeration date:** 08/10/2021
- **Last updated:** 08/10/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0401412009 | DR.CAPLINS VA LIC | VA |