Deep Roots Periodontics Pllc is a Periodontology Clinic in Fairfax, Virginia. It is located at 11130 Fairfax Blvd, Suite 100, Fairfax, VA and its contact number is 954-536-1111. The authorized person for Deep Roots Periodontics Pllc is Dr. Taeheon Kang
who is Periodontis of the clinic and their contact number is 954-536-1111. The primary license number for Deep Roots Periodontics Pllc is 0401-413327 (Periodontics) in Virginia. Deep Roots Periodontics Pllc Clinic is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Clinic Profile:
Deep Roots Periodontics Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Deep Roots Periodontics Pllc
Specialization:
Periodontology
Clinic Address:
11130 Fairfax Blvd, Suite 100, Fairfax, Virginia, 22030-5035
Phone:
954-536-1111
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Taeheon Kang
Position:
Periodontis
Contact Number:
954-536-1111
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Deep Roots Periodontics Pllc clinic are as mentioned below.
NPI Number:
1255695243
NPI Enumeration Date:
25 Jun, 2012
NPI Last Update On:
25 Jun, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Deep Roots Periodontics Pllc are as mentioned below.
Specialization
License Number
State
Status
Periodontics
0401-413327
Virginia
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Deep Roots Periodontics Pllc 11130 Fairfax Blvd, Suite 100 Fairfax, Virginia
Zip:
22030-5035
Phone Number:
954-536-1111
Patients can reach Deep Roots Periodontics Pllc at 11130 Fairfax Blvd, Suite 100, Fairfax, Virginia or can call to book an appointment on 954-536-1111. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.