Quantico Dental Care PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

QUANTICO DENTAL CARE PLLC

Practice address

16830 Dumfries Rd
Dumfries, VA 22025

Phone

(703) 380-1246

NPI assigned

Mar 24, 2022

Organization subpart

No

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

Authorized official

Name

Palwinder KaurNPI 1477748887

Title

Dentist

Phone

(703) 952-6600

Specialties & licenses 1

Addresses

Other names 1

• Impact Dental Care Doing business as

Practitioners 1

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

• Palwinder Kaur, DDS

  • General Practice Dentistry
  • Gainesville, VA
  • NPI 1477748887
  NPD Authorized official

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1881344968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13308 REGAL CREST DR",
            "city": "CLIFTON",
            "state": "VA",
            "postal_code": "201240979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16830 DUMFRIES RD",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "22025",
            "telephone_number": "703-380-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTICO DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "PALWINDER",
        "authorized_official_title_or_position": "DENTIST",
        "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": [
        {
            "organization_name": "Impact Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.