Organization · Type 2 NPI

Va Southern Dental Ppo PC

Dentist · Fredericksburg, VA

NPI number 1053293746 Active

Practice location

1315 Emancipation Hwy
Fredericksburg, VA 22401-4640

Mailing address

5830 Granite Pkwy Ste 780
Plano, TX 75024-6775

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1053293746

Va Southern Dental Ppo PC's National Provider Identifier is 1053293746, issued on Jul 23, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fredericksburg, VA. The record was last updated on Jul 23, 2025.