Organization · Type 2 NPI
Deep Roots Periodontics PLLC
Periodontics · Fairfax, VA
NPI number
1255695243
Active
Practice location
11130 Fairfax Blvd, Suite 100
Fairfax, VA 22030-5035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 0401-413327 (VA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
6 other providers at this address
- Allied Health Care LLCHome Health Agency Fairfax, VA NPI 1649865882
- Clinical Psychology ServicesClinical Psychologist Fairfax, VA NPI 1184034779
- Clinical Psychology Services PCClinical Psychologist Fairfax, VA NPI 1194818054
- Abdullah Mohammed AbdulrazzaqBehavior Technician Fairfax, VA NPI 1033004528
- Stacey M. Rumerman, PSY.D.Clinical Psychologist Fairfax, VA NPI 1124265657
- Thomas Gerard Vaccaro, DDSDentist Fairfax, VA NPI 1356482681
Other periodontics providers in Fairfax
About NPI 1255695243
Deep Roots Periodontics PLLC's National Provider Identifier is 1255695243, issued on Jun 25, 2012. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fairfax, VA. The record was last updated on Jun 25, 2012.