Grove Dental Clinic

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GROVE DENTAL CLINIC

Doing business as

McLean Smile Center

Practice address

8355B Greensboro Dr
MC Lean, VA 22102-3530

Phone

(703) 866-8096

Fax

(703) 866-8097

NPI assigned

Mar 29, 2017

Last updated

Apr 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Erika Naupari de Nunez

Title

Credentialing

Phone

(703) 866-8096

Specialties & licenses 1

Addresses

Other names 1

• McLean Smile Center Doing business as

Tax ID family

Grove Dental Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Grove Dental Clinic

  • Dentist
  • Alexandria, VA
  • NPI 1689910556
  NPD tax ID
• Grove Dental Clinic, P.C.

  • General Practice Dentistry
  • Falls Church, VA
  • NPI 1326210295
  NPD tax ID
• Grove Dental Clinic, P.C.

  • General Practice Dentistry
  • McLean, VA
  • NPI 1578934196
  NPD tax ID

Locations

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491609600000",
    "number": "1689106726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8355B GREENSBORO DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023530",
            "telephone_number": "703-866-8096",
            "fax_number": "703-866-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355B GREENSBORO DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023530",
            "telephone_number": "703-866-8096",
            "fax_number": "703-866-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-04-08",
        "status": "A",
        "authorized_official_last_name": "NAUPARI DE NUNEZ",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ERIKA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "703-866-8096"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLean Smile Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luanne Griffin, LPC
• Jolanta Griffiths, DMD
• Justin Meade Griggs
• Sara Wanner Groark, LPC,LMFT,CSAC
• Jamie Grossman, M.D.
• Grove Dental Clinic, P.C.
• Marc Philip Gruner, D.O.
• John Joseph Gualtieri, PH. D.
• Michelle Guarnieri, RDN, LDN
• Rosa Bella Guerra

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.