Provider Demographics
NPI:1023899010
Name:PLEASANT VALLEY DENTAL CARE PC
Entity type:Organization
Organization Name:PLEASANT VALLEY DENTAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AYMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEEB
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-773-2940
Mailing Address - Street 1:2130 S PLEASANT VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-7003
Mailing Address - Country:US
Mailing Address - Phone:540-773-2516
Mailing Address - Fax:540-300-4563
Practice Address - Street 1:2130 S PLEASANT VALLEY RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-7003
Practice Address - Country:US
Practice Address - Phone:540-773-2516
Practice Address - Fax:540-300-4563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental