Gregory Nosal in Fairfax - Periodontics

Gregory Nosal - NPI 1306939335

Gregory Nosal is a Periodontics in Fairfax, Virginia. Gregory Nosal practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Gregory Nosal is 1306939335. The last update date is 2007-07-08.

Gregory Nosal's current location address is 9514c Lee Hwy, Fairfax, Virginia. You can contact this provider via phone number 7032737144 and fax number 7032733821. The mailing address for Gregory Nosal is 9514c Lee Hwy, Fairfax, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory Nosal
Address 9514c Lee Hwy, Fairfax, Virginia
Phone Number 7032737144
Fax Number 7032733821
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1306939335
Provider Enumeration Date 2006-10-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9514c Lee Hwy
City Fairfax
State Virginia (VA)
Post Code 220312303
Phone Number 7032737144
Fax Number 7032733821

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 401007820
Definition:
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 structure

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FAQs about Gregory Nosal

What is the unique 10-digit identifier code issued to Gregory Nosal by the Centers for Medicare & Medicaid Services?

The Gregory Nosal has been assigned the NPI (National Provider Identifier) 1306939335 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Gregory Nosal is located?

The Gregory Nosal is situated at the following address: 9514C Lee Hwy, Fairfax, VA, 220312303.

What is the Gregory Nosal's specialty and taxonomy code?

The Gregory Nosal's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1306939335 to Gregory Nosal?

The Centers for Medicare & Medicaid Services originally issued the 1306939335 to Gregory Nosal on 2006-10-02.

As of what date were the details related to Gregory Nosal most recently updated or revised?

The information pertaining to Gregory Nosal, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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