Andy Anh the Ma DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ANDY ANH THE MA DDS, PLLC

Doing business as

Woodbridge Dental Center

Practice address

4585 Daisy Reid Ave Ste 101
Woodbridge, VA 22192-7802

Phone

(703) 680-9296

Fax

(703) 680-2039

NPI assigned

Feb 1, 2012

Organization subpart

No

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

Authorized official

Name

Andy Anh the Ma, DDS

Title

President

Phone

(703) 975-4038

Specialties & licenses 1

Addresses

Other names 1

• Woodbridge Dental Center Doing business as

Locations

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1194097584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 DAISY REID AVE STE 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927802",
            "telephone_number": "703-680-9296",
            "fax_number": "703-680-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4585 DAISY REID AVE STE 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927802",
            "telephone_number": "703-680-9296",
            "fax_number": "703-680-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDY ANH THE MA DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "ANH THE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-975-4038",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbridge Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.