ESTELA PENA DDS LLC NPI 1700079373

NPI Information

NPI: 1700079373
Provider Name: ESTELA PENA, DDS, LLC

Other Name: RYAN PARK DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
43480 YUKON DR
SUITE 204
ASHBURN, VA
ZIP 20147
Phone: (703) 729-8277
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ESTELA PENA, DDS, LLC is a dental clinic center in Ashburn, VA. ESTELA PENA, DDS, LLC NPI is 1700079373. The provider is registered as an organization entity type.
The provider Other Name Is Ryan Park Dentistry.

The provider's business location address is:

43480 YUKON DR
SUITE 204
ASHBURN, VA
ZIP 20147-988
Phone: (703) 729-8277
Fax: (703) 729-8774

The provider's authorized official is Estela Pena .
The authorized official title is Owner and has the following contact phone number (703) 729-8277.

The enumeration date for this NPI number is 8/27/2007 and was last updated on 8/27/2007.

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	261QD0000X	Clinic/Center	Dental	0401410933	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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