Organization
DENTISTS OF CENTREVILLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENTISTS OF CENTREVILLE (MANAGER)
(703) 968-7022
Entity
Organization
Contact information
Practice address
5703 CENTRE SQUARE DR, CENTREVILLE, VA 20120-1916
(703) 968-7022
Mailing address
5703 CENTRE SQUARE DR, CENTREVILLE, VA 20120-1916
(703) 968-7022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/10/2025
Last updated
06/17/2026
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