DULLES OROFACIAL SURGERY NPI 1467990895

NPI Information

NPI: 1467990895
Provider Name: DULLES OROFACIAL SURGERY
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
24805 PINEBROOK RD
SUITE 100
CHANTILLY, VA
ZIP 20152
Phone: (703) 327-0955
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DULLES OROFACIAL SURGERY is an ambulatory surgical clinic center in Chantilly, VA. DULLES OROFACIAL SURGERY NPI is 1467990895. The provider is registered as an organization entity type.

The provider's business location address is:

24805 PINEBROOK RD
SUITE 100
CHANTILLY, VA
ZIP 20152-126
Phone: (703) 327-0955
Fax: (703) 327-0956

The provider's authorized official is Edward Longwe .
The authorized official title is Office Manager and has the following contact phone number (703) 327-0955.

The enumeration date for this NPI number is 2/6/2017 and was last updated on 2/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	0438000358	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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