Springdale Kidz Dentistry, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401410663 Issued in VA

Legal business name

SPRINGDALE KIDZ DENTISTRY, PLLC

Practice address

5047 Backlick Rd
Suite a
Annandale, VA 22003-6045

Phone

(703) 462-8855

NPI assigned

Jul 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Tricia T Tran, DDS

Title

President

Phone

(703) 462-8855

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1669888483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5047 BACKLICK RD",
            "address_2": "SUITE A",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036045",
            "telephone_number": "703-462-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5047 BACKLICK RD",
            "address_2": "SUITE A",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036045",
            "telephone_number": "703-462-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGDALE KIDZ DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-462-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401410663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Annandale, VA
• Providers in Annandale, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.