AESTHETIC DENTISTRY OF LORTON NPI 1528396330

NPI Information

NPI: 1528396330
Provider Name: AESTHETIC DENTISTRY OF LORTON

Other Name: DR. REEVES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7764 ARMISTEAD ROAD
SUITE 100
LORTON, VA
ZIP 22079
Phone: (703) 339-5090
Get Directions

AESTHETIC DENTISTRY OF LORTON is a general practice dentist in Lorton, 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. AESTHETIC DENTISTRY OF LORTON NPI is 1528396330. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Dr. Reeves.

The provider's business location address is:

7764 ARMISTEAD ROAD
SUITE 100
LORTON, VA
ZIP 22079-918
Phone: (703) 339-5090
Fax: (703) 339-1068

The provider's authorized official is Valerie Becker .
The authorized official title is Office Manager and has the following contact phone number (703) 339-5090.

The enumeration date for this NPI number is 12/7/2009 and was last updated on 7/5/2011.

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	1223E0200X	Dentist	Endodontics	0401410574	VIRGINIA	No
2	1223G0001X	Dentist	General Practice	4477	VIRGINIA	No
3	1223G0001X	Dentist	General Practice	5997	VIRGINIA	No
4	124Q00000X	Dental Hygienist		0402203732	VIRGINIA	No
5	124Q00000X	Dental Hygienist		0402002410	VIRGINIA	No
6	1223G0001X	Dentist	General Practice	0401411477	VIRGINIA	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 State	Other Provider Identifier Issuer
1	1902221	OTHER	VIRGINIA	UCCI

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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