SOUTH FORK DENTISTRY PLLC
NPI 1265190417
Dentist in Purcellville, VA

Active since December 06, 2021
723 E MAIN ST, PURCELLVILLE, VA 20132(571) 335-7480 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About South Fork Dentistry Pllc NPPES

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

SOUTH FORK DENTISTRY PLLC (NPI 1265190417) is a healthcare organization registered as a dentist in Purcellville, Virginia and active in the NPI registry since December 2021. The organization lists Simren Mahal, Owner, as its authorized official.

NPPES Registry Identity

NPI1265190417
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSOUTH FORK DENTISTRY PLLC
Location Address723 E MAIN STPurcellville, VA 20132
Mailing Address19783 Willowdale PlAshburn, VA 20147-5209 · (703) 297-6793
Organization SubpartNo
Authorized OfficialSimren MahalOwner · (571) 335-7480
Enumeration DateDecember 6, 2021
NPPES CertifiedNovember 24, 2021
NPI 1265190417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

723 E MAIN ST, Purcellville, VA 20132

Other Identifiers 1

Other1922408160Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
723 E MAIN ST
PURCELLVILLE, VA 20132

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265190417, enumerated as an "organization" on December 06, 2021.

The provider is located at 723 E MAIN ST PURCELLVILLE, VA 20132 and the phone number is (571) 335-7480.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.