GD VA Ade PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GD VA ADE PLLC

Doing business as

Arlington Dental Excellence

Practice address

3301 Fairfax Dr Ste 54
Arlington, VA 22201-4426

Phone

(701) 352-5015

NPI assigned

Mar 17, 2023

Last updated

Mar 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Other names 1

• Arlington Dental Excellence Doing business as

Locations

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1154023927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 FAIRFAX DR STE 54",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222014426",
            "telephone_number": "701-352-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 FAIRFAX DR STE 54",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222014426",
            "telephone_number": "701-352-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GD VA ADE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arlington Dental Excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maurice Leonard Gaspar, M.D.
• Sandy Gasper, LCP
• Caroline Gates, MSN, RN, CDCES
• Jason Lamar Gates, PMHNP-BC, MSN
• Jacques Tomoonh Gbaba, LGSW
• GD VA Arlington PLLC (Arlington Dental Aesthetics)
• GD VA Fairlington, PLLC (Fairlington Dental)
• Hirut A Gebre, NP
• Aaron Gebrelul, MD
• Semhar Gebrenegus

• General Practice Dentistry in Arlington, VA
• Providers in Arlington, 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 Mar 17, 2023; 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.