Provider Demographics
NPI:1992478663
Name:ALBERS, BRIANNA PAIGE (DMD)
Entity type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:PAIGE
Last Name:ALBERS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 N RANDOLPH ST APT 1615
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-4022
Mailing Address - Country:US
Mailing Address - Phone:757-842-1959
Mailing Address - Fax:
Practice Address - Street 1:6464 LINCOLNIA RD # A1
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-1066
Practice Address - Country:US
Practice Address - Phone:703-876-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014175971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice