Provider Demographics
NPI:1639596612
Name:JOSHUA FEIN, DDS, MS, PC
Entity Type:Organization
Organization Name:JOSHUA FEIN, DDS, MS, PC
Other - Org Name:VIRGINIA ENDODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:EVAN
Authorized Official - Last Name:FEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:703-539-0400
Mailing Address - Street 1:3025 HAMAKER CT STE 320
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2304
Mailing Address - Country:US
Mailing Address - Phone:703-539-0400
Mailing Address - Fax:703-539-0445
Practice Address - Street 1:3025 HAMAKER CT STE 320
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2304
Practice Address - Country:US
Practice Address - Phone:703-539-0400
Practice Address - Fax:703-539-0445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014125671223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty