Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

South Fork Dentistry PLLC

Organization Dentist · NPI 1265190417

South Fork Dentistry PLLC is a Dentist in Purcellville, Virginia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

723 E Main St
Purcellville, VA 20132
Phone: (571) 335-7480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1265190417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Simren Mahal — Owner · (571) 335-7480
NPI enumeratedDecember 6, 2021
Last updated in NPPESDecember 6, 2021
Certification dateNovember 24, 2021
Mailing address19783 Willowdale Pl, Ashburn, VA 20147-5209

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