GD VA Ade PLLC

Organization Active NPI General Practice Dentistry · Arlington, VA

NPI 1154023927 · NPPES record last updated Mar 17, 2023

Key facts

NPI
1154023927
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
GD VA ADE PLLC
Practice address
3301 Fairfax Dr Ste 54
Arlington, VA 22201-4426
Phone
(701) 352-5015
NPI assigned
Mar 17, 2023
Organization subpart
No

Authorized official

Name
Chad Hendricks
Title
Credentialing
Phone
(612) 859-0444

National Provider Directory

Locations

3301 Fairfax Dr
Ste 54
Arlington, VA 22201
Phone (701) 352-5015

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

3301 Fairfax Dr Ste 54
Arlington, VA 22201-4426

Mailing address

3301 Fairfax Dr Ste 54
Arlington, VA 22201-4426
Phone (701) 352-5015

Other names

  • Arlington Dental Excellence Doing business as

Other providers in Arlington, VA

All providers in Arlington, VA · General Practice Dentistry in Virginia

Sources for this page

Verify at the official NPI Registry.