COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH NPI 1457450421

NPI Information

  • NPI: 1457450421
  • Provider Name: COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
  • Classification: Public Health or Welfare - 251K00000X
  • Entity Type: Organization
  • Doing Business As: LOUDOUN COUNTY HEALTH DEPARTMENT-DENTAL CLINIC
  • CLIA Number: 49D2245023
  • Address: 102 HERITAGE WAY NE
    1ST FLOOR SUITE #100
    LEESBURG, VA
    ZIP 20176
  • Phone: (703) 771-5830

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NPI Details

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH is a public health or welfare in Leesburg, VA. COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH NPI is 1457450421. The provider is registered as an organization entity type.
The provider Is Doing Business As Loudoun County Health Department-dental Clinic.

The provider's business location address is:

102 HERITAGE WAY NE
1ST FLOOR SUITE #100
LEESBURG, VA
ZIP 20176
Phone: (703) 771-5830
Fax: (703) 771-5550

The provider's authorized official is David Goodfriend .
The authorized official title is Director and has the following contact phone number (703) 771-5829.

The CLIA number assigned to this NPI record is 49D2245023 - other - juvenile detention ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 2/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251K00000XPublic Health or WelfareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10013769MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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