OrganizationActive
South Fork Dentistry PLLC
NPI 1265190417 · Dentist · Purcellville, VA
South Fork Dentistry PLLC is a Dentist organization in Purcellville, VA (NPI 1265190417).
Provider details
- NPI number
- 1265190417
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Simren Mahal, Owner(571) 335-7480
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
723 E Main St
Purcellville, VA 20132
Phone: (571) 335-7480
Street-level locationGet directions
Mailing address
19783 Willowdale Pl
Ashburn, VA 20147-5209
Registry dates
- Enumerated
- 2021-12-06
- Last updated
- 2021-12-06
- Certified
- 2021-11-24
Frequently asked questions
- What is South Fork Dentistry PLLC's NPI number?
- South Fork Dentistry PLLC's National Provider Identifier (NPI) is 1265190417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Fork Dentistry PLLC?
- South Fork Dentistry PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is South Fork Dentistry PLLC located?
- South Fork Dentistry PLLC's practice location on file with NPPES is 723 E Main St, Purcellville, VA 20132.
- What is South Fork Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for South Fork Dentistry PLLC is (571) 335-7480.
- Who is the authorized official for South Fork Dentistry PLLC?
- The authorized official listed on South Fork Dentistry PLLC's NPPES record is Simren Mahal, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Fork Dentistry PLLC's NPI active?
- Yes — South Fork Dentistry PLLC's NPI (1265190417) is active in the NPPES registry as of the last update on 2021-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.