Tria Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TRIA DENTAL LLC

Practice address

8150 Leesburg Pike
Suite 503
Vienna, VA 22182-7715

Phone

(703) 532-2020

NPI assigned

Sep 12, 2016

Last updated

Sep 12, 2016By 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

Pamela Benson

Title

Office Manager

Phone

(703) 532-2020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1356899058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 LEESBURG PIKE",
            "address_2": "SUITE 503",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221827715",
            "telephone_number": "703-532-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 LEESBURG PIKE",
            "address_2": "SUITE 503",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221827715",
            "telephone_number": "703-532-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-532-2020"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Vienna, VA
• Providers in Vienna, 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 Sep 12, 2016; 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.