Easy Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EASY DENTAL CARE

Practice address

7522 Old Linton Hall Rd
Gainesville, VA 20155-1731

Phone

(703) 753-8600

NPI assigned

May 19, 2017

Organization subpart

No

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

Authorized official

Name

Ahmed Ezzeldin

Title

President

Phone

(540) 699-0888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495152000000",
    "number": "1477080570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7522 OLD LINTON HALL RD",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7522 OLD LINTON HALL RD",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551731",
            "telephone_number": "703-753-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-19",
        "last_updated": "2017-05-19",
        "status": "A",
        "authorized_official_last_name": "EZZELDIN",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-699-0888"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; 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.