Provider Demographics
NPI:1932531142
Name:BEST DENTAL PLLC
Entity Type:Organization
Organization Name:BEST DENTAL PLLC
Other - Org Name:SUPERKIDS PEDIATRIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-423-2520
Mailing Address - Street 1:46175 WESTLAKE DR
Mailing Address - Street 2:SUITE 420
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-5873
Mailing Address - Country:US
Mailing Address - Phone:703-774-0014
Mailing Address - Fax:410-430-8215
Practice Address - Street 1:46175 WESTLAKE DR
Practice Address - Street 2:SUITE 420
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-5873
Practice Address - Country:US
Practice Address - Phone:703-774-0014
Practice Address - Fax:410-430-8215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401413997261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental