institution
Deep Roots Periodontics Pllc
Periodontist in Fairfax, Virginia
NPI 1255695243

Deep Roots Periodontics Pllc is a Periodontist based in Fairfax, VA and is specialized in Periodontics. Deep Roots Periodontics Pllc practices in Fairfax, VA. The NPI Number for Deep Roots Periodontics Pllc is 1255695243 and holds a License No. 0401-413327 (Virginia).

The current practice location address for Deep Roots Periodontics Pllc is 11130 Fairfax Blvd, Fairfax, VA and can be reached out via phone at 954-536-1111. You can also correspond with Deep Roots Periodontics Pllc through the mailing address at 11130 FAIRFAX BLVD, FAIRFAX, VA - 22030-5035 (mailing address contact number: 954-536-1111).

Location: 11130 Fairfax Blvd, Fairfax, VA, 22030-5035
institution
Provider Profile Details
NPI Number
1255695243
Provider Name
Deep Roots Periodontics Pllc
Credential
Provider Entity Type
Organization
Address
11130 Fairfax Blvd, Fairfax, VA, 22030-5035
Phone Number
954-536-1111
Fax Number
Provider Enumeration Date
06/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11130 Fairfax Blvd
City
State
Zip
22030-5035
Phone Number
954-536-1111
Fax Number
person
Provider Business Mailing Address Details
Address
11130 Fairfax Blvd
City
State
Zip
22030-5035
Phone Number
954-536-1111
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
0401-413327 (Virginia)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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