Provider Demographics
NPI:1669258380
Name:TELEGRAPH DENTAL ASSOCIATES PLLC
Entity type:Organization
Organization Name:TELEGRAPH DENTAL ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEON SAKERS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-371-4788
Mailing Address - Street 1:8562 FISHER WOODS DR
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-1300
Mailing Address - Country:US
Mailing Address - Phone:410-371-4788
Mailing Address - Fax:
Practice Address - Street 1:6925 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-3320
Practice Address - Country:US
Practice Address - Phone:703-313-6999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty