Organization · Type 2 NPI
Va Southern Dental Ppo PC
Dentist · Annandale, VA
Practice location
4330 Evergreen Ln Ste F1
Annandale, VA 22003-3258
Mailing address
5830 Granite Pkwy Ste 780
Plano, TX 75024-6775
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | None 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 1508718750
Va Southern Dental Ppo PC's National Provider Identifier is 1508718750, issued on Feb 11, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Annandale, VA. The record was last updated on Feb 11, 2026.