Mark E Golub DDS PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401005546 Issued in VA

Legal business name

MARK E GOLUB DDS PLC

Practice address

1451 Belle Haven Rd
Suite 340
Alexandria, VA 22307

Phone

(703) 765-3366

Fax

(703) 765-1419

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Edward GolubNPI 1093196263

Title

President

Phone

(703) 765-3366

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Golub, DDS

  • Dentist
  • Alexandria, VA
  • NPI 1093196263
  NPD (past) Authorized official

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114930310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 BELLE HAVEN RD",
            "address_2": "SUITE 340",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22307",
            "telephone_number": "703-765-3366",
            "fax_number": "703-765-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 BELLE HAVEN RD",
            "address_2": "SUITE 340",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22307",
            "telephone_number": "703-765-3366",
            "fax_number": "703-765-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E GOLUB DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLUB",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-765-3366",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachael A Marino, OTR/L
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• Marlene Garcia
• Marlene M. Piccio-Azarcon,MD,PC
• Lori Marlowe

• General Practice Dentistry in Alexandria, VA
• Providers in Alexandria, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.