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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: August 16, 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
Phone(571) 335-7480
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
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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.

DR. SIMREN KAUR SINGH D.D.S.
Dentist (General Practice)
723 E MAIN ST
PURCELLVILLE, VA 20132
Loudoun County (703) 621-0992

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 South Fork Dentistry PLLC's NPI number?

The NPI number for South Fork Dentistry PLLC is 1265190417. It was assigned to this organization in the NPPES registry on December 6, 2021.

Where is South Fork Dentistry PLLC located?

South Fork Dentistry PLLC is located at 723 E Main St, Purcellville, VA 20132. The listed phone number is (571) 335-7480.

What is South Fork Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for South Fork Dentistry PLLC was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.