PRINCE WILLIAM HEALTH DISTRICT DENTAL
NPI 1124110085
Clinic/Center - Dental in Manassas, VA

Active since September 29, 2006CLIA 49D0682152 · Microscopy
9301 LEE AVE, MANASSAS, VA 20110(703) 792-6300(703) 792-6338 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prince William Health District Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRINCE WILLIAM HEALTH DISTRICT DENTAL (NPI 1124110085) is a healthcare organization registered as a dental in Manassas, Virginia and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Alison Ansher, Health Director, as its authorized official.

NPPES Registry Identity

NPI1124110085
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePRINCE WILLIAM HEALTH DISTRICT DENTAL
Location Address9301 LEE AVEManassas, VA 20110
Mailing Address9301 Lee AveManassas, VA 20110 · (703) 792-6300 · Fax (703) 792-6338
Fax(703) 792-6338
Organization SubpartNo
Authorized OfficialAlison AnsherHealth Director · (703) 792-6300
Enumeration DateSeptember 29, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1124110085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
9301 LEE AVE, Manassas, VA 20110

Other Identifiers 1

Medicaid13761VA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D0682152

Prince William Health District · Manassas, VA
Active · expires Aug 31, 2026
CLIA Number49D0682152
Laboratory TypePublic Hlth Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDonna Burton
Laboratory Phone(703) 792-6300
Laboratory LocationPrince William Health District9301 Lee Avenue, Manassas, VA 20110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
9301 LEE AVE
MANASSAS, VA 20110
Public Health or Welfare
9301 LEE AVE
MANASSAS, VA 20110
Public Health or Welfare
9301 LEE AVE
MANASSAS, VA 20110
Nurse Practitioner (Women's Health)
9301 LEE AVE
MANASSAS, VA 20110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prince William Health District Dental's NPI number?

The NPI number for Prince William Health District Dental is 1124110085. It was assigned to this organization in the NPPES registry on September 29, 2006.

Where is Prince William Health District Dental located?

Prince William Health District Dental is located at 9301 Lee Ave, Manassas, VA 20110. The listed phone number is (703) 792-6300.

What is Prince William Health District Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Does Prince William Health District Dental hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D0682152) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prince William Health District Dental was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.