South Fork Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SOUTH FORK DENTISTRY PLLC

Practice address

723 E Main St
Purcellville, VA 20132

Phone

(571) 335-7480

NPI assigned

Dec 6, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Simren Mahal, DDS

Title

Owner

Phone

(571) 335-7480

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Simren Kaur Singh, D.D.S.

  • General Practice Dentistry
  • Purcellville, VA
  • NPI 1922408160
  NPD

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1265190417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19783 WILLOWDALE PL",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475209",
            "telephone_number": "703-297-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 E MAIN ST",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "20132",
            "telephone_number": "571-335-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FORK DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "MAHAL",
        "authorized_official_first_name": "SIMREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-335-7480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922408160",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Merrill Smith, DMD
• Timothy A Smith, D.D.S.
• Social Connections LLC
• Steven Ira Solow, LPC
• Maria Michelle Soriano
• Emmie Ruth Strassberg, D.O
• Stribling Counseling Services, Inc.
• Henry Douthat Stribling, LCSW
• Kimberly Iris Stribling, LCSW
• Michelle Le Tan, OD

• Dentist in Purcellville, VA
• Providers in Purcellville, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.