Jason W. Dulac, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JASON W. DULAC, DDS, PLLC

Practice address

6124 Brandon Ave
Springfield, VA 22150-2610

Phone

(703) 451-4500

Fax

(703) 451-7164

NPI assigned

Dec 2, 2016

Organization subpart

No

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

Authorized official

Name

Jason William Dulac, DDSNPI 1356577613

Title

Owner

Phone

(616) 340-7674

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Jason W Dulac, DDS

  • Dentist
  • Springfield, VA
  • NPI 1356577613
  NPD (past) Authorized official
• Bruce William Markoff, DDS

  • General Practice Dentistry
  • Springfield, VA
  • NPI 1386747194
  NPD (past)

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1528501988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 BRANDON AVE",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502610",
            "telephone_number": "703-451-4500",
            "fax_number": "703-451-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 BRANDON AVE",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502610",
            "telephone_number": "703-451-4500",
            "fax_number": "703-451-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON W. DULAC, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "DULAC",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-340-7674",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice G. Sadaya-Conda M.D., PLLC (Springfield Primary Care)
• Karlie Nicole Jardine
• Sumiye Anne Jarreau-Horton, BCBA
• Jessica Jarrett, MS, CCC-SLP
• Jasmine Home Care LLC
• Imra Jauhar
• Tracie Jean Louis
• Karen Makar Jeannette, LPC, LCMHC
• Alyssa Marino Jejurikar
• Alisa E Jenkins, MS, CCC-SLP

• General Practice Dentistry in Springfield, VA
• Providers in Springfield, 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 Dec 2, 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.