Organization Active NPI

Pal Dental Group, Inc.

  • General Practice Dentistry
  • Potomac Falls, VA
National Provider Identifier
1245457597
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PAL DENTAL GROUP, INC.
Practice address
46161 Westlake Dr
Suite 310
Potomac Falls, VA 20165-5871
Phone
(703) 444-4188
Fax
(703) 444-4309
NPI assigned
Apr 19, 2007
Last updated
Feb 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Sandhya A. Pal, DDS
Title
President
Phone
(703) 444-4188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

46161 Westlake Dr
Suite 310
Potomac Falls, VA 20165-5871

Mailing address

46161 Westlake Dr
Suite 310
Potomac Falls, VA 20165-5871
Phone (703) 444-4188

Other names 1

  • Pal Dental Group Other name

National Provider Directory

National Provider Directory

Locations

46161 Westlake Dr
Ste 310
Sterling, VA 20165
Phone (703) 444-4188

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1245457597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46161 WESTLAKE DR",
            "address_2": "SUITE 310",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655871",
            "telephone_number": "703-444-4188",
            "fax_number": "703-444-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46161 WESTLAKE DR",
            "address_2": "SUITE 310",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655871",
            "telephone_number": "703-444-4188",
            "fax_number": "703-444-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAL DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "PAL",
        "authorized_official_first_name": "SANDHYA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-444-4188",
        "authorized_official_credential": "DDS"
    },
    "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": "Pal Dental Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Potomac Falls, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.