Julian Fields, DDS LTD – Dentist in Altavista, VA

Key facts

NPI: 1326440546
Entity type: Organization (NPI type 2)
Primary specialty: Dentist 122300000X
License: 0401414545 (VA)
Legal business name: JULIAN FIELDS, DDS LTD
Practice address: 2180 Lynch Mill Rd
Altavista, VA 24517-1150
Phone: (434) 369-4702
Fax: (434) 369-4703
NPI assigned: Sep 18, 2014
Organization subpart: No

Authorized official

Name: Dr. Julian Fields IV, D.D.S.
Title: Dentist/Owner
Phone: (434) 369-4702

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Julian W. Fields D.D.S., LTD. Dental Clinic/Center · Altavista, VA · NPI 1861658726

NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Julian William Fields IV, D.D.S. Dentist · Altavista, VA · NPI 1245383397

NPD (past) DENTIST
Sarita Bhushan, D.D.S. Dentist · Baltimore, MD · NPI 1811391162

NPD (past) DENTIST

National Provider Directory

Tax ID family: Altavista Dental (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist Group: 193200000X MULTI-SPECIALTY GROUP	122300000X	0401414545	VA	Yes

Addresses

Primary practice location

2180 Lynch Mill Rd
Altavista, VA 24517-1150

Mailing address

2180 Lynch Mill Rd
Altavista, VA 24517-1150
Phone (434) 369-4702

Other names

Altavista Dental Doing business as

Other providers in Altavista, VA

All providers in Altavista, VA · Dentist in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.