MEDICARE: MARK A. WINKLER, DDS & NEIL H. CHARAIPOTRA, DDS, PC

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	1223G0001X	General Practice Dentistry	7463	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	792905	OTHER	VA	UNITED CONCORDIA GROUP ID

General Provider Information

NPI Number	:	1972692259
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK A. WINKLER, DDS & NEIL H. CHARAIPOTRA, DDS, PC

Provider Business Mailing Address
First Line	:	6116 ROLLING RD
Second Line	:	SUITE 316
City	:	SPRINGFIELD
State	:	VA
Zip	:	22152-1521
Country	:	US
Telephone Number	:	703-451-8332
Fax Number	:	703-451-4661

Provider Business Practice Location Address
First Line	:	6116 ROLLING RD
Second Line	:	SUITE 316
City	:	SPRINGFIELD
State	:	VA
Zip	:	22152-1521
Country	:	US
Telephone Number	:	703-451-8332
Fax Number	:	703-451-4661

Authorized Official
Title or Position	:	TREASURER/SEC., AND PRACTICE MGR.
Name	:	MRS. CYNTHIA M. LOAYZA
Credential	:
Telephone Number	:	703-451-8332

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	08/22/2020

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