DR. ANGEL FERNANDO MOGROVEJO FAJARDO DDS MS NPI 1831532829

NPI Information

  • NPI: 1831532829
  • Provider Name: DR. ANGEL FERNANDO MOGROVEJO FAJARDO, DDS, MS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 461 MCLAWS CIR STE 1
    WILLIAMSBURG, VA
    ZIP 23185
  • Phone: (757) 221-0249

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NPI Details

DR. Angel Fernando Mogrovejo Fajardo, DDS, MS is a periodontics dentist in Williamsburg, VA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Angel Fernando Mogrovejo Fajardo, DDS, MS NPI is 1831532829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

461 MCLAWS CIR STE 1
WILLIAMSBURG, VA
ZIP 23185-350
Phone: (757) 221-0249

The enumeration date for this NPI number is 4/10/2013 and was last updated on 3/11/2019.

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
11223P0300XDentistPeriodontics0401415449VIRGINIAYes

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: 3/30/2025

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