Jason W. Dulac, DDS

Dentist · Springfield, VA

Individual Active NPI

NPI number 1356577613

Practice location

6124 Brandon Ave
Springfield, VA 22150-2610
Phone
(703) 451-4500
Fax
(703) 451-7164

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NPI record

NPI
1356577613
Entity type
Individual (Type 1)
Enumeration date
June 1, 2009
Last updated
October 20, 2020
Certified
October 20, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 0401414685 VA
Dentist 122300000X 2901020024 MI

About Dr. Dulac

Jason W. Dulac, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 6124 Brandon Ave, Springfield, VA 22150-2610. The NPI number 1356577613 was assigned on June 1, 2009 and the record was last updated on October 20, 2020.

Dr. Dulac lists 2 licenses in the registry: #0401414685 (VA) for Dentist; #2901020024 (MI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jason W. Dulac, DDS?

The NPI number is 1356577613.

What is the phone number of Dr. Dulac?

The phone number listed for the practice location is (703) 451-4500.

Where is Dr. Dulac located?

6124 Brandon Ave, Springfield, VA 22150-2610.

What is the taxonomy code for Dr. Dulac?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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