Dental Services DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL SERVICES DDS, PC

Practice address

3918 Prosperity Ave Ste 203
Fairfax, VA 22031-3333

Phone

(703) 280-1300

NPI assigned

Sep 16, 2021

Organization subpart

No

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

Authorized official

Name

Gloria Maria Campos Vasquez, DDSNPI 1811398779

Title

Owner

Phone

(703) 280-1300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Gloria Campos Vasquez, DDS

  • Dentist
  • Holyoke, MA
  • NPI 1811398779
  NPD Authorized official

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1649940040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 PROSPERITY AVE STE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313333",
            "telephone_number": "703-280-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 PROSPERITY AVE STE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313333",
            "telephone_number": "703-280-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SERVICES DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "CAMPOS VASQUEZ",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-280-1300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Associates LTD
• Dental Associates of Northern Virginia PLLC
• Dental One Associates (Old Dominion) PLLC
• Dental One Associates (Woodson Square), LTD
• Dental Professionals of Virginia, P.C.
• Dentists of Fair Oaks
• Deborah Ruth Deperio
• Andrew John Itutud Derks, PHYSICIAN ASSISTANT
• Dermatology and Dermatologic Surgery, Inc.
• Dermatology of Virginia

• General Practice Dentistry in Fairfax, VA
• Providers in Fairfax, 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 16, 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.