# ROBERT C DOST DDS PLLC

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

## Provider details

- **NPI number:** 1740622406
- **Authorized official:** MRS. BRENDA LEE CREEL (OFFICE MANAGER)
- **Authorized official phone:** (703) 491-4040

## Contact information

- **Practice address:** 1990 OLD BRIDGE RD, SUITE \#301, LAKE RIDGE, VA 22192-2383
- **Practice address phone:** (703) 491-4040
- **Practice address fax:** (703) 494-4859
- **Mailing address:** 1990 OLD BRIDGE RD, SUITE \#301, LAKE RIDGE, VA 22192-2383
- **Mailing address phone:** (703) 491-4040
- **Mailing address fax:** (703) 494-4859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 40100-5831 | VA | Yes |

## Other

- **Enumeration date:** 07/23/2013
- **Last updated:** 07/23/2013
