GEORGES TRABOULSI (NPI# 1760624613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760624613 |
Entity Type | Individual |
Full Name | GEORGES TRABOULSI |
Other Name | GEORGES TRABOULSI |
Credential | DDS |
Practice Address |
5419 Backlick Rd. C Springfield VA 22151 |
Practice Telephone | 7032568554 |
Practice Fax Number | 7032561029 |
Mailing Telephone | 7032568554 |
Mailing Fax Number | 7032561029 |
Enumeration Date | 2009-03-24 |
Last Update Date | 2017-04-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
0401413344 | VA | Dental Providers |
Street Address |
5419 BACKLICK RD. C |
City | SPRINGFIELD |
State | VA |
Zip Code | 22151 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508499849 | Aan Healthcare Services Inc. | Home Health | 6820 Commercial Dr, Ste D, Springfield, VA 22151 | 2020-02-14 |
1073093563 | Joy Home Health Care, LLC | Home Health | 6820 Commercial Drive, Suite #14, Springfield, VA 22151 | 2018-08-15 |
1457842676 | Community Concepts, Inc. | Behavioral Analyst | 9001 Braddock Rd Ste 220, Springfield, VA 22151 | 2018-05-23 |
1245741172 | Abf Home Healthcare Services, LLC | Nursing Care | 6820 Commercial Drive Suite D, Springfield, VA 22151 | 2017-10-18 |
1720597834 | Katelyn E Prue | Behavioral Analyst | 5414 Backlick Road, C, Springfield, VA 22151 | 2017-09-21 |
1144763806 | Marcus Rein | Physical Therapist | 6805 Industrial Rd, Springfield, VA 22151 | 2016-11-29 |
1760843676 | Pablo Enrique Moro | Counselor | 5415-c Backlick Rd, Springfield, VA 22151 | 2016-03-19 |
1780938332 | Leticia Duah | Registered Nurse | 8551 Newington Forest Court, Springfield, VA 22151 | 2012-11-05 |
1952563033 | Nhu-anh Nguyen | Pharmacist | 5424 Backlick Road, Springfield, VA 22151 | 2008-06-30 |
1528231859 | Goodheart Healthcare Services, Inc. | Home Health | 5411-e Backlick Rd, Suite 100, Springfield, VA 22151 | 2008-04-08 |
Find all providers in zip 22151 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
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. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720624307 | Deena Hadithi Dmd, PC. | Dentist | 7210 Old Keene Mill Rd Ste 3, Springfield, VA 22150-3442 | 2019-11-19 |
1487975231 | Anthony T Quinta | Dentist | 1795 Main St Ste 202, Springfield, MA 01103-1015 | 2010-06-16 |
1346373347 | Jody Brian Vance | Dentist | 3331 E Montclair St Ste G, Springfield, MO 65804-4786 | 2007-03-13 |
1629130430 | John Bruno | Dentist | 6120 Brandon Ave Ste 211, Springfield, VA 22150-2504 | 2006-12-15 |
1952472011 | Timothy Brian Coffelt | Dentist | 301 N Fountain Ave, Springfield, OH 45504-2536 | 2006-11-12 |
1063424638 | Bruce S Wyman | Dentist | 6116 Rolling Road, Suite 312, Springfield, VA 22152-1512 | 2006-08-12 |
1295743318 | Brad Reese Burks | Dentist | 1355 E Bradford Pkwy Ste D, Springfield, MO 65804-4200 | 2006-08-04 |
1275058919 | Anthony T Quinta Dmd LLC | Dentist | 1795 Main Street, Suite 202, Springfield, MA 01103 | 2017-08-03 |
1871816389 | James William Davis | Dentist | 2025 W Iles Ave, Suite F, Springfield, IL 62704-4190 | 2010-03-11 |
1639380033 | Joseph J Havrilla Dds Inc | Dentist | 905 W Sproul Rd, Suite 108, Springfield, PA 19064-1254 | 2007-05-25 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 22151 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.