Deep Roots Periodontics Pllc

  • 1255695243 NPI Number
  • |
  • Actived: 11 years ago
  • |
Deep Roots Periodontics Pllc is a health care provider based in Fairfax, VA. The NPI Number is 1255695243 and it has been active since 11 years ago. The specialty is Periodontics, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Periodontics services, Deep Roots Periodontics Pllc is an excellent option. We are here to help you get the care you need.

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Overview of Deep Roots Periodontics Pllc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 06/25/2012
  • Last updated: 06/25/2012

Primary Scrop of Practice

  • Taxonomy Code: 1223P0300X
  • Specialty: Periodontics
  • License Number: 0401-413327
  • License State: VA

Provider Mailing Address

  • Address: 11130 Fairfax Blvd
    Suite 100
    Fairfax, VA 22030
  • Phone: 954-536-1111
  • Fax:

Provider Practice Location

  • Address: 11130 Fairfax Blvd
    Suite 100
    Fairfax, VA 22030
  • Phone: 954-536-1111
  • Fax:

Authorized Official

  • Name: DR. Taeheon Kang D.D.S., M.S.
  • Position/Title: Periodontis
  • Telephone Number: 954-536-1111

Scope of Practice

  • Taxonomy Code: 1223P0300X
  • Specialty: Periodontics
  • License Number: 0401-41332
  • License State: VA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Deep Roots Periodontics Pllc?
  • A: The npi number for Deep Roots Periodontics Pllc is 1255695243.
  • Q: What are Deep Roots Periodontics Pllc's specialties?
  • A: Deep Roots Periodontics Pllc's specialties are Periodontics and different specialities.
  • Q: Where is Deep Roots Periodontics Pllc business practice location?
  • A: Deep Roots Periodontics Pllc business practice location is 11130 Fairfax Blvd, Fairfax, VA 22030.
  • Q: How to contact Deep Roots Periodontics Pllc?
  • A: You can contact Deep Roots Periodontics Pllc via 954-536-1111.
  • Q: What is the authorized official for Deep Roots Periodontics Pllc?
  • A: The authorized office name is DR. Taeheon Kang D.D.S., M.S. with position/title is Periodontis and you can reach the authorized official via phone number 9545361111.
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