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

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X17390 (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.