Organization
DENTRUST DENTAL VIRGINIA, P.C.
Active
Parent organization
DENTRUST DENTAL VIRGINIA PC
Other names
DOCS Ft. Belvoir
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTRUST DENTAL VIRGINIA PC
Authorized official
AMANDA ANNE CLARK (DIRECTOR OF CREDENTIALING)
(267) 927-5000
Entity
Organization
Contact information
Practice address
8651 JOHN J KINGMAN RD BLDG 2321, FT BELVOIR, VA 22060-6200
(267) 927-5000
Mailing address
1221 VINEWOOD DR, SEFFNER, FL 33584-4829
(813) 451-4503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401412009
DR.CAPLINS VA LIC
VA
Enumeration date
08/10/2021
Last updated
08/10/2021
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