Fusion Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

401007478 Issued in VA

Legal business name

FUSION DENTAL

Practice address

1401 Chain Bridge Rd
MC Lean, VA 22101-6026

Phone

(703) 821-1633

NPI assigned

Jul 17, 2018

Last updated

Jul 17, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

GREATER MARYLAND DENTAL PARTNERSAs reported in NPPES

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

Authorized official

Name

Jaime Byerly, DO

Title

Director, Operations

Phone

(202) 699-1027

Specialties & licenses 2

Addresses

Other names 1

• Greater Maryland Dental Partners Former legal business name

Locations

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1255817730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CHAIN BRIDGE RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221016026",
            "telephone_number": "703-821-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CHAIN BRIDGE RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221016026",
            "telephone_number": "703-821-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREATER MARYLAND DENTAL PARTNERS",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "BYERLY",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "DIRECTOR, OPERATIONS",
        "authorized_official_telephone_number": "202-699-1027",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "401007478",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "401410040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Maryland Dental Partners",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rachel Elizabeth Frietchen
• Lawrence Addo Frimpong
• Elizabeth B Fritsch, PH.D.
• Francis Edwin Froelich, M.D.
• Fuad Issa MD PLLC
• Sandra Ingrida Gailitis, M.D.
• Lauren Gallagher, RBT
• Galleria Dental Aesthetics
• Niral Bharat Gandhi, M.D.
• Carina Eloisa Garcia

• General Practice Dentistry in McLean, VA
• Providers in McLean, 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 Jul 17, 2018; 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.