Search › Virginia › 122300000X
Mark Jefferies, DMD
NPI 1750454179 · on the registry since 2006
Practice
- Address
- 2465 Centreville Rd Ste J15
Herndon, VA 20171 - Phone
- (703) 793-1771
- Fax
- (703) 793-1789
- Organisation at this address
- Poulin Inc
Kwality Home Care Inc.
Mark S. Jefferies, Dmd, Plc
The Tooth Doc Family DentistryInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-11-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia