MY KINGSTOWNE DENTAL, PC – NPI #1124985379
Clinic/Center

MY KINGSTOWNE DENTAL, PC is an AHC clinic located in ALEXANDRIA, VA. NPPES has assigned the NPI number 1124985379 to MY KINGSTOWNE DENTAL, PC on January 08, 2026. 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

The NPI profile was last updated on Apr 15, 2026. 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 MY KINGSTOWNE DENTAL, PC below.

NPI Profile for
MY KINGSTOWNE DENTAL, PC

NPI Number
1124985379
Enumeration Date

(about 5 months 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
MY KINGSTOWNE DENTAL, PC
Primary location
6422 GROVEDALE DR STE 101A
ALEXANDRIA, VA 22310-2534
Phone: (202) 230-2579 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KEVIN SALINAS
DENTIST/OWNER
Phone: (202) 230-2579
Updated
Certification Date
Apr 15, 2026

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.