Organization Active NPI

Leesburg Dental Office PLLC

Doing business as Leesburg Dental

  • Dental Clinic/Center
  • Leesburg, VA
National Provider Identifier
1174328819
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LEESBURG DENTAL OFFICE PLLC
Doing business as
Leesburg Dental
Practice address
602 S King St Ste 302
Leesburg, VA 20175-3919
Phone
(703) 777-2442
NPI assigned
Feb 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Dr. Duy-Anh Vu, DDS
Title
Owner/Dentist
Phone
(703) 777-2442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

602 S King St Ste 302
Leesburg, VA 20175-3919

Mailing address

602 S King St Ste 302
Leesburg, VA 20175-3919
Phone (703) 777-2442

Other names 1

  • Leesburg Dental Doing business as

National Provider Directory

National Provider Directory

Locations

602 S King St
Ste 302
Leesburg, VA 20175
Phone (703) 777-2442

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1174328819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S KING ST STE 302",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753919",
            "telephone_number": "703-777-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S KING ST STE 302",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753919",
            "telephone_number": "703-777-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESBURG DENTAL OFFICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "DUY-ANH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "703-777-2442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leesburg Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.