1508022567 NPI number — PLEASANT VALLEY ORTHODONTICS

Table of content: (NPI 1508022567)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508022567 NPI number — PLEASANT VALLEY ORTHODONTICS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PLEASANT VALLEY ORTHODONTICS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508022567
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/30/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4080 LAFAYETTE CENTER DR
Provider Second Line Business Mailing Address:
STE 160-A
Provider Business Mailing Address City Name:
CHANTILLY
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
20151-1247
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-230-6784
Provider Business Mailing Address Fax Number:
703-230-0509

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4080 LAFAYETTE CENTER DR
Provider Second Line Business Practice Location Address:
STE 160-A
Provider Business Practice Location Address City Name:
CHANTILLY
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
20151-1247
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-230-6784
Provider Business Practice Location Address Fax Number:
703-230-0509
Provider Enumeration Date:
07/30/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BRITTO
Authorized Official First Name:
AJIT
Authorized Official Middle Name:
DENIS
Authorized Official Title or Position:
OWNER/DOCTOR
Authorized Official Telephone Number:
703-230-6784

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  0401008946 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)