Provider Demographics
NPI:1275936460
Name:APEX DENTAL CARE
Entity Type:Organization
Organization Name:APEX DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:571-447-5577
Mailing Address - Street 1:3565 LEE HWY
Mailing Address - Street 2:SUITE S3/B
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-3716
Mailing Address - Country:US
Mailing Address - Phone:571-447-5577
Mailing Address - Fax:571-482-6982
Practice Address - Street 1:3565 LEE HWY
Practice Address - Street 2:SUITE S3/B
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-3716
Practice Address - Country:US
Practice Address - Phone:571-447-5577
Practice Address - Fax:571-482-6982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014128931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty