BBF Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

401005817 Issued in VA

Legal business name

BBF DENTAL PLLC

Practice address

12011 Lee Jackson Hwy
Suite 105
Fairfax, VA 22033-3310

Phone

(703) 273-5354

Fax

(703) 273-8149

NPI assigned

Sep 6, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stan Kinder

Title

Regional Vice President

Phone

(703) 298-1690

Specialties & licenses 1

Addresses

Other names 1

• Dental Associates Doing business as

Tax ID family

BBF Dental PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• BBF Dental PLLC

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1306131727
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1003197955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 FAIR LAKES CIR",
            "address_2": "SUITE 500",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334910",
            "telephone_number": "703-269-3150",
            "fax_number": "703-449-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 LEE JACKSON HWY",
            "address_2": "SUITE 105",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333310",
            "telephone_number": "703-273-5354",
            "fax_number": "703-273-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BBF DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "KINDER",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "REGIONAL VICE PRESIDENT",
        "authorized_official_telephone_number": "703-298-1690"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "401005817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bayada Home Health Care, Inc.
• Beverly Rose Bayer, NP
• George C Bazaco, M.D.
• Andrew William Bazemore, MD
• Daliah Bazerbashi, DMD
• BBF Dental PLLC
• John E.W. Beach, M.D.
• Sydney Beache, MD
• Nicole Beadles, PHD
• Michael Edgar Beall, MD

• Dental Clinic/Center in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.