Individual provider · Type 1 NPI
Brielle Gough, DMD
General Practice Dentistry · Vienna, VA
NPI number
1235860750
Active
Practice location
138 Church Street NE
Vienna, VA 22180-4507
Mailing address
1250 N Fayette St Apt 4441
Alexandria, VA 22314-2788
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 17390 (MD) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1235860750
Brielle Gough, DMD's National Provider Identifier is 1235860750, issued on Jun 24, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Vienna, VA. The record was last updated on Jun 24, 2022.