Organization
DEEPAK KAKAR DDS
Active
Other names
Fredericksburg Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER LYNNE SPEAR-VENTRE (OFFICE MANAGER)
(540) 786-0051
Entity
Organization
Contact information
Practice address
927 MAPLE GROVE DR, SUITE 111, FREDERICKSBURG, VA 22407-6936
(540) 786-0051
(540) 786-0999
Mailing address
927 MAPLE GROVE DR, SUITE 111, FREDERICKSBURG, VA 22407-6936
(540) 786-0051
(540) 786-0999
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401410573
VA
1223P0221X
Pediatric Dentistry
0401410972
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174626717
PROVIDER NPI NUMBER
VA
01
—
1477606465
NPI NUMBER DR. LUNA
VA
01
—
1710081195
NPI NUMBER DR. BYRD
VA
Enumeration date
06/25/2008
Last updated
06/25/2008
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