1205132396 NPI number — ARSHIA SHINGLER DDS AND RHEA DAVIS DDS PLC

Table of content: (NPI 1205132396)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205132396 NPI number — ARSHIA SHINGLER DDS AND RHEA DAVIS DDS PLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARSHIA SHINGLER DDS AND RHEA DAVIS DDS PLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
POTOMAC PEDIATRIC DENTISTRY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205132396
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/07/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16708 JEFFERSON DAVIS HIGHWAY
Provider Second Line Business Mailing Address:
SUITE #115
Provider Business Mailing Address City Name:
DUMFRIES
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22026
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-221-4040
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16708 JEFFERSON DAVIS HIGHWAY
Provider Second Line Business Practice Location Address:
SUITE #115
Provider Business Practice Location Address City Name:
DUMFRIES
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22026
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-221-4040
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/07/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SHINGLER
Authorized Official First Name:
ARSHIA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
703-754-1580

Provider Taxonomy Codes

  • Taxonomy code: 1223P0221X , with the licence number:  0401410803 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1223P0221X , with the licence number: 0401410642 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1223P0221X , with the licence number: 0401412750 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)