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General NPI Number Information
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NPI Number | 1336077841
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Entity Type | Organization
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Legal Business Name | AMERICAN URGENT DENTAL ALEXANDRIA VA PLLC
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 2616 SHERWOOD HALL LN STE 403
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City | ALEXANDRIA
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State | VA
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Zip | 22306-3154
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Country | US
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Telephone | 703-214-9143
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Fax |
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Provider Business Mailing Address
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Address Line | 2616 SHERWOOD HALL LN STE 403
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City | ALEXANDRIA
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State | VA
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Zip | 22306-3154
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Country | US
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Telephone | 703-214-9143
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Fax |
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Authorized Official
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Title or Position | REGIONAL DIRECTOR
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Name | ERIN PRESGRAVES
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Credential | PRESGRAVES
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Telephone | 301-524-4543
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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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