Organization
WELSTEAD & ROSINSKI LLC DBA THE LEESBURG DENTISTS
Active
Other names
Fuller & Spencer Fuller PC
Organization subpart
No
Provider details
NPI number
Authorized official
LLEWELLYN WELSREAD DDS (OWNER)
(703) 771-8500
Entity
Organization
Contact information
Practice address
706 S. KING STREET, SUITE 5, LEESBURG, VA 20175
(703) 771-8500
(703) 771-9541
Mailing address
706 S. KING STREET, SUITE 5, LEESBURG, VA 20175
(703) 771-8500
(703) 771-9541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
VA0401006762
VA
122300000X
Dentist
Primary
VA0401006767
VA
122300000X
Dentist
VA0401008876
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078792
BCBS INS PROVIDER
VA
01
—
541465992
DELTA INS PROVIDER
VA
Enumeration date
09/27/2006
Last updated
11/10/2020
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