MEDICARE: GENTLE FAMILY DENTISTRY OF STEPHENS CITY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1124744222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE FAMILY DENTISTRY OF STEPHENS CITY PLLC

Provider Business Mailing Address
First Line	:	640 WARRIOR DR STE 114
Second Line	:
City	:	STEPHENS CITY
State	:	VA
Zip	:	22655-4076
Country	:	US
Telephone Number	:	540-866-2900
Fax Number	:	540-508-2989

Provider Business Practice Location Address
First Line	:	640 WARRIOR DR STE 114
Second Line	:
City	:	STEPHENS CITY
State	:	VA
Zip	:	22655-4076
Country	:	US
Telephone Number	:	540-866-2900
Fax Number	:	540-508-2989

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. ADAM ARRIA
Credential	:	DDS
Telephone Number	:	703-789-7770

Provider Enumeration Date	:	10/19/2022
Last Update Date	:	10/19/2022

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