# DENTAL PROFESSIONALS OF VIRGINIA, P.C

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL PROFESSIONALS OF VIRGINIA, P.C
- **Other names:** Dental Care of Manassas
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992127989
- **Legal business name:** DENTAL PROFESSIONALS OF VIRGINIA, P.C
- **Authorized official:** CARMEN WOODS (INSURANCE/CREDENTIALING)
- **Authorized official phone:** (217) 540-5141

## Contact information

- **Practice address:** 11670 SUDLEY MANOR DR, MANASSAS, VA 20109-2842
- **Practice address phone:** (571) 359-6424
- **Practice address fax:** (571) 359-6579
- **Mailing address:** 11670 SUDLEY MANOR DR, MANASSAS, VA 20109-2842
- **Mailing address phone:** (571) 359-6424
- **Mailing address fax:** (571) 359-6579

## Taxonomy

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

## Other

- **Enumeration date:** 01/10/2014
- **Last updated:** 02/24/2014