NOVA PERIO SPECIALISTS NPI 1205407467

NPI Information

NPI: 1205407467
Provider Name: NOVA PERIO SPECIALISTS
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
21165 WHITFIELD PL STE 107
STERLING, VA
ZIP 20165
Phone: (703) 444-4377
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NOVA PERIO SPECIALISTS is a dental clinic center in Sterling, VA. NOVA PERIO SPECIALISTS NPI is 1205407467. The provider is registered as an organization entity type.

The provider's business location address is:

21165 WHITFIELD PL STE 107
STERLING, VA
ZIP 20165-276
Phone: (703) 444-4377
Fax: (703) 444-7383

The provider's authorized official is Crystal Sparks .
The authorized official title is Manager and has the following contact phone number (703) 444-4377.

The enumeration date for this NPI number is 7/8/2021 and was last updated on 6/8/2022.

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	261QD0000X	Clinic/Center	Dental			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	1306299185	OTHER	NPPES
2	1710362629	OTHER	NPPES
3	1689223836	OTHER	NPPES
4	1720123292	OTHER	NPPES
5	1114232527	OTHER	NPPES
6	1598038192	OTHER	NPPES

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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