DR. OLMEDO IVAN VILLAVICENCIO D.D.S. NPI 1013059450

NPI Information

NPI: 1013059450
Provider Name: DR. OLMEDO IVAN VILLAVICENCIO, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
7501 LITTLE RIVER TPKE STE 105
ANNANDALE, VA
ZIP 22003
Phone: (703) 354-2878
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DR. Olmedo Ivan Villavicencio, D.D.S. is a general practice dentist in Annandale, VA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Olmedo Ivan Villavicencio, D.D.S. NPI is 1013059450. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7501 LITTLE RIVER TPKE STE 105
ANNANDALE, VA
ZIP 22003-923
Phone: (703) 354-2878
Fax: (703) 354-2712

The enumeration date for this NPI number is 2/13/2007 and was last updated on 7/8/2007.

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	1223G0001X	Dentist	General Practice	0401007760	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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