Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Other names
Loudoun County Health Department-Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GOODFRIEND MD (DIRECTOR)
(703) 771-5829
Entity
Organization
Contact information
Practice address
102 HERITAGE WAY NE, 1ST FLOOR SUITE #100, LEESBURG, VA 20176
(703) 771-5830
(703) 771-5550
Mailing address
PO BOX 7000- MSC #68, LEESBURG, VA 20177-7000
(703) 771-5830
(703) 771-5550
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013769
—
VA
Enumeration date
09/22/2006
Last updated
02/06/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up