PARK AVENUE DENTAL PLLC – NPI #1043947849
Clinic/Center

PARK AVENUE DENTAL PLLC is an AHC clinic located in FALLS CHURCH, VA. NPPES has assigned the NPI number 1043947849 to PARK AVENUE DENTAL PLLC on August 02, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PARK AVENUE DENTAL PLLC below.

NPI Profile for
PARK AVENUE DENTAL PLLC

NPI Number
1043947849
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PARK AVENUE DENTAL PLLC
Primary location
313 PARK AVE STE 101
FALLS CHURCH, VA 22046-3303
Phone: (703) 409-1700 Fax:
Mailing address
8310 OLD COURTHOUSE RD STE A
VIENNA, VA 22182-3872
Phone: Fax:
Organization Subpart
No
Authorized Official
GEITH KALLAS
OWNER
Phone: (703) 622-3300
Updated
Certification Date
Aug 02, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.