Impact Dental Care Woodbridge, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

IMPACT DENTAL CARE WOODBRIDGE, PLLC

Practice address

2701 Neabsco Common Place, Unit 126
Woodbridge, VA 22191

Phone

(703) 576-8700

Fax

(703) 576-8787

NPI assigned

Jun 11, 2021

Organization subpart

No

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

Authorized official

Name

Harpreet Kaur

Title

Manager

Phone

(703) 952-6600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1568030161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 NEABSCO COMMON PLACE, UNIT 126",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 NEABSCO COMMON PLACE, UNIT 126",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22191",
            "telephone_number": "703-576-8700",
            "fax_number": "703-576-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT DENTAL CARE WOODBRIDGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "HARPREET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-952-6600"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Iden
• Ibrahim Iftoni
• Joan Ignacio
• Ruth Ilboudo, LCSW
• Imago Dei Support Services. LLC
• Improved Dynamics ABA of VA
• Imrad of Virginia PLLC
• Noor Imran, CCMA, CMAA,CPT
• In Good Hands Provider, LLC
• In-Home Supportive Service

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.