MARCOS GRANDE DDS PLLC NPI 1326462367

NPI Information

  • NPI: 1326462367
  • Provider Name: MARCOS GRANDE DDS PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: EXPRESS SMILES
  • Address: GRANDE DENTAL CARE
    108 ELDEN STREET, SUITE 10
    HERNDON, VA
    ZIP 20170
  • Phone: (703) 471-7164

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NPI Details

MARCOS GRANDE DDS PLLC is a general practice dentist in Herndon, 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. MARCOS GRANDE DDS PLLC NPI is 1326462367. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Express Smiles.

The provider's business location address is:

GRANDE DENTAL CARE
108 ELDEN STREET, SUITE 10
HERNDON, VA
ZIP 20170-828
Phone: (703) 471-7164
Fax: (703) 471-1801

The provider's authorized official is Marcos Grande .
The authorized official title is Dentist and has the following contact phone number (703) 471-7164.

The enumeration date for this NPI number is 2/11/2014 and was last updated on 2/11/2014.

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
11223G0001XDentistGeneral Practice0401411982VIRGINIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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