Advanced Dental Care of Fredericksburg

Primary specialty

DentistTaxonomy code 122300000X

License

401413063 Issued in VA

Legal business name

ADVANCED DENTAL CARE OF FREDERICKSBURG

Practice address

10524 Spotsylvania Avenue
Suite 104
Fredericksburg, VA 22408

Phone

(540) 891-9911

Fax

(540) 891-9914

NPI assigned

Jul 5, 2012

Last updated

Jul 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohamed Arafa, DDS

Title

Dentist

Phone

(540) 891-9911

Specialties & licenses 1

Addresses

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.

• Yurim Jang

  • Dentist
  • Fredericksburg, VA
  • NPI 1558841593
  NPD (past)

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1326303496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10524 SPOTSYLVANIA AVENUE",
            "address_2": "SUITE 104",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22408",
            "telephone_number": "540-891-9911",
            "fax_number": "540-891-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 SPOTSYLVANIA AVENUE",
            "address_2": "SUITE 104",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22408",
            "telephone_number": "540-891-9911",
            "fax_number": "540-891-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL CARE OF FREDERICKSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "ARAFA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "540-891-9911",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "401413063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.