Provider Demographics
NPI:1043814262
Name:BATTLEFIELD DENTAL OF FREDERICKSBURG, INC.
Entity type:Organization
Organization Name:BATTLEFIELD DENTAL OF FREDERICKSBURG, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-357-5000
Mailing Address - Street 1:5996 PLANK RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-6232
Mailing Address - Country:US
Mailing Address - Phone:540-412-6793
Mailing Address - Fax:540-412-6802
Practice Address - Street 1:5996 PLANK RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-6232
Practice Address - Country:US
Practice Address - Phone:540-412-6793
Practice Address - Fax:540-412-6802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1669555249OtherNPI TYPE 1