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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES L. SOURS JR., D.D.S.

Active Sole Proprietor

DR. CHARLES L. SOURS JR., D.D.S. is a General Dentistry healthcare provider located in WOODBRIDGE, Virginia. NPI 1811919087 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · WOODBRIDGE, VA

Registration Details

NPI Number
1811919087
Provider Type
Individual
Gender
Male
NPI Issued
Jul 24, 2006 (20.040926816945 yrs)
Last Updated
Jul 8, 2007
License
4304 (VA)
Sole Proprietor
Yes

Practice Information

Address
12606 LAKE RIDGE DR # A
WOODBRIDGE, VA, 221922335
Browse VA providers · Browse ZIP 22192
Phone
7034912131
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in WOODBRIDGE, VA

Name Credential NPI
DR. JAMIE CHILDRESS DDS 1760487045
DR. CHERYL A LOBO DDS 1093708307
DR. SU-EN CHU THLICK DMD 1255318754
DR. THAO PHUONG DOAN D.D.S. 1215915186
LAWRENCE ROBERT MULLER D.D.S. 1851310437
DR. WESLEY SCOTT CREAMER D.M.D. 1073534053
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.