# RYAN C. MAYO, D.D.S & GREGORY C. MAYO D.D.S., P.C.

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

## Provider details

- **NPI number:** 1871968255
- **Legal business name:** POTOMAC VALLEY DENTAL CARE, PLLC
- **Authorized official:** DR. GREGORY C MAYO D.D.S. (DENTIST/OWNER)
- **Authorized official phone:** (703) 777-3510

## Contact information

- **Practice address:** 22 DAVIS AVE SW, LEESBURG, VA 20175-3824
- **Practice address phone:** (703) 777-3510
- **Practice address fax:** (703) 777-9488
- **Mailing address:** 22 DAVIS AVE SW, LEESBURG, VA 20175-3824
- **Mailing address phone:** (703) 777-3510
- **Mailing address fax:** (703) 777-9488

## Taxonomy

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

## Other

- **Enumeration date:** 12/10/2015
- **Last updated:** 12/10/2015