1932538253 NPI number — MODERN ORTHODONTICS

Table of content: (NPI 1932538253)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932538253 NPI number — MODERN ORTHODONTICS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MODERN 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:
1932538253
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/10/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10298 BRISTOW CENTER DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRISTOW
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
20136-2200
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-436-0006
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10298 BRISTOW CENTER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRISTOW
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
20136-2200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-436-0006
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/06/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MOLLOV
Authorized Official First Name:
NIKOLAY
Authorized Official Middle Name:
DIMITROV
Authorized Official Title or Position:
VICE-PRESIDENT
Authorized Official Telephone Number:
703-436-0006

Provider Taxonomy Codes

  • Taxonomy code: 1223X0400X , with the licence number:  0401413531 , 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)