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BRADLEY & SEVILLA DMD PC NPI 1699889782


NPI Information

NPI: 1699889782
Provider Name: BRADLEY & SEVILLA DMD PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
307 MAPLE AVE W STE G
VIENNA, VA
ZIP 22180
Phone: (703) 242-8416
Get Directions

BRADLEY & SEVILLA DMD PC is a general practice dentist in Vienna, 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. BRADLEY & SEVILLA DMD PC NPI is 1699889782. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

307 MAPLE AVE W STE G
VIENNA, VA
ZIP 22180-307
Phone: (703) 242-8416

The provider's authorized official is Maria Christina Sevilla .
The authorized official title is Owner and has the following contact phone number (703) 242-8416.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice0400017415VIRGINIANo
21223G0001XDentistGeneral Practice0400017414VIRGINIAYes

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: 4/28/2024

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