GOOSE CREEK VILLAGE DENTAL – NPI #1902207327
Clinic/Center

GOOSE CREEK VILLAGE DENTAL is an AHC clinic located in ASHBURN, VA. NPPES has assigned the NPI number 1902207327 to GOOSE CREEK VILLAGE DENTAL on September 05, 2014. 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 GOOSE CREEK VILLAGE DENTAL below.

NPI Profile for
GOOSE CREEK VILLAGE DENTAL

NPI Number
1902207327
Enumeration Date

(about 12 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
GOOSE CREEK VILLAGE DENTAL
Primary location
21001 SYCOLIN RD
SUITE 240
ASHBURN, VA 20147-4073
Phone: (703) 723-4224 Fax: (703) 723-4220
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL KIM
DENTIST / PARTNER
Phone: (703) 723-4224
Updated
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)		 VA 0401413573

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.