Provider Demographics
NPI:1689401176
Name:BEST REST VIRGINIA
Entity type:Organization
Organization Name:BEST REST VIRGINIA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARTER
Authorized Official - Middle Name:CORNETTE
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:571-465-2114
Mailing Address - Street 1:43810 CENTRAL STATION DR STE 100
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-7210
Mailing Address - Country:US
Mailing Address - Phone:571-465-2114
Mailing Address - Fax:
Practice Address - Street 1:43810 CENTRAL STATION DR
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-7204
Practice Address - Country:US
Practice Address - Phone:571-465-2114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty