JULIAN W. FIELDS D.D.S. LTD. NPI 1861658726

NPI Information

NPI: 1861658726
Provider Name: JULIAN W. FIELDS D.D.S., LTD.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2180 LYNCH MILL RD
ALTAVISTA, VA
ZIP 24517
Phone: (434) 369-4702
Get Directions

JULIAN W. FIELDS D.D.S., LTD. is a dental clinic center in Altavista, VA. JULIAN W. FIELDS D.D.S., LTD. NPI is 1861658726. The provider is registered as an organization entity type.

The provider's business location address is:

2180 LYNCH MILL RD
ALTAVISTA, VA
ZIP 24517-150
Phone: (434) 369-4702
Fax: (434) 369-4703

The provider's authorized official is Julian W. Fields .
The authorized official title is Dentist/owner and has the following contact phone number (434) 369-4702.

The enumeration date for this NPI number is 7/31/2008 and was last updated on 7/31/2008.

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
1	261QD0000X	Clinic/Center	Dental	0401007246	VIRGINIA	No
2	261QD0000X	Clinic/Center	Dental	0401008664	VIRGINIA	Yes

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
1	108554	OTHER	VIRGINIA	MEDICAID LOCATION NUMBER
2	1245383397	OTHER	VIRGINIA	INDIVIDUAL PROVIDER NPI
3	1578533063	OTHER	VIRGINIA	INDIVIDUAL PROVIDER NPI
4	342746	OTHER	VIRGINIA	BLUE CROSS BLUE SHIELD PROVIDER NUMBER
5	463565	OTHER	VIRGINIA	BLUE CROSS BLUE SHIELD PROVIDER NUMBER
6	9180988	MEDICAID	VIRGINIA

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: 5/5/2024

NPI Synchronization or Removal

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