1. Home
  2. Directory
  3. Virginia
  4. Woodbridge
  5. Clinic Center
  6. NPI Profile

ANDERSON DENTAL ASSOCIATES III, PLLC
NPI 1992303242
Clinic/Center - Dental in Woodbridge, VA

Active since October 09, 2020
15609 WINGSPAN CT, WOODBRIDGE, VA 22193(860) 817-2787 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 25, 2022, Oct 9, 2020 (2 updates tracked since 2020).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About ANDERSON DENTAL ASSOCIATES III, PLLC

This page provides the complete NPI Profile along with additional information for Anderson Dental Associates Iii, Pllc, a provider established in Woodbridge, Virginia operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1992303242 assigned on October 2020. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Joshua Wilfredo Anderson (Dentist)

NPI
1992303242 Verify this NPI
Provider Name
ANDERSON DENTAL ASSOCIATES III, PLLC
Entity Type
Organization
Location Address
15609 WINGSPAN CT WOODBRIDGE, VA 22193
Location Phone
(860) 817-2787
Mailing Address
2719 WASHINGTON BLVD ARLINGTON, VA 22201
Mailing Phone
(703) 243-1810
Mailing Fax
(703) 243-1874
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-09-2020
Last Update Date
02-25-2022
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOSHUA WILFREDO ANDERSON

Authorized Official Title
DENTIST
Authorized Official Phone
(860) 817-2787

Reviews for ANDERSON DENTAL ASSOCIATES III, PLLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

What is ANDERSON DENTAL ASSOCIATES III, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1992303242, enumerated as an "organization" on October 09, 2020.

Where is the provider located?

The provider is located at 15609 WINGSPAN CT WOODBRIDGE, VA 22193 and the phone number is (860) 817-2787.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.