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Paul Supan, DDS

NPI 1962591545 · on the registry since 2006

Practice

Address
823 South King St
Suite A
Leesburg, VA 20175
Phone
(703) 771-1220
Fax
(703) 771-9333
Organisation at this address
Bmsk, Pllc
Town Pediatrics, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
1223X0400X
1223X0400X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia