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NPI 1124744222

NPI 1124744222 : GENTLE FAMILY DENTISTRY OF STEPHENS CITY PLLC : STEPHENS CITY, VA

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General NPI Number Information
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    NPI Number           |    1124744222
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    Entity Type          |    Organization 
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    Legal Business Name  |    GENTLE FAMILY DENTISTRY OF STEPHENS CITY PLLC 
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Dates
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    Enumeration Date     |    10/19/2022
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    Last Update Date     |    10/19/2022
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Provider Practice Location Address
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    Address Line         |    640 WARRIOR DR STE 114 
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    City                 |    STEPHENS CITY
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    State                |    VA
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    Zip                  |    22655-4076
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    Country              |    US
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    Telephone            |    540-866-2900
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    Fax                  |    540-508-2989
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Provider Business Mailing Address
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    Address Line         |    640 WARRIOR DR STE 114 
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    City                 |    STEPHENS CITY
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    State                |    VA
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    Zip                  |    22655-4076
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    Country              |    US
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    Telephone            |    540-866-2900
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    Fax                  |    540-508-2989
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Authorized Official
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    Title or Position    |    OWNER/DENTIST
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    Name                 |    DR. ADAM  ARRIA 
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    Credential           |    DDS
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    Telephone            |    703-789-7770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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