Provider Demographics
NPI:1538338959
Name:CULPEPER DENTAL ASSOCIATES L.L.C.
Entity type:Organization
Organization Name:CULPEPER DENTAL ASSOCIATES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:SIMPSON II
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:540-825-2444
Mailing Address - Street 1:800 SUNSET LN STE B
Mailing Address - Street 2:
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-3982
Mailing Address - Country:US
Mailing Address - Phone:540-825-2444
Mailing Address - Fax:540-825-0156
Practice Address - Street 1:800 SUNSET LN STE B
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-3982
Practice Address - Country:US
Practice Address - Phone:540-825-2444
Practice Address - Fax:540-825-0156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010080611223G0001X
VA04014113421223G0001X
VA04014110791223G0001X
VA04010038551223G0001X
VA6116278371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty