Provider Demographics
NPI:1265253900
Name:VIRGINIA PERIODONTICS AND IMPLANTS PLLC
Entity type:Organization
Organization Name:VIRGINIA PERIODONTICS AND IMPLANTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PERIODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WALEED
Authorized Official - Middle Name:
Authorized Official - Last Name:ALKAKHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MSD, MA
Authorized Official - Phone:703-489-3226
Mailing Address - Street 1:2727 S QUINCY ST APT 1224
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-2362
Mailing Address - Country:US
Mailing Address - Phone:703-489-3226
Mailing Address - Fax:
Practice Address - Street 1:2727 S QUINCY ST APT 1224
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-2362
Practice Address - Country:US
Practice Address - Phone:703-489-3226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental