SPECIALIST CARE ENDODONTICS LLC (NPI# 1134614092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134614092 |
| Entity Type | Organization |
| Organization Name | SPECIALIST CARE ENDODONTICS LLC |
| Practice Address |
1964 Gallows Rd Ste 220 Vienna VA 22182-3814 |
| Practice Telephone | 7036509990 |
| Practice Fax Number | 7036509991 |
| Mailing Telephone | 7036509990 |
| Mailing Fax Number | 7036509991 |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2018-06-24 |
| Authorized Official Name | DR. ARUNDHATI MISRA SAUPARN (MANAGING MEMBER) |
| Authorized Official Telephone | 6464920226 |
| Authorized Official Credential | BDS, ENDODONTIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
0401415163 | VA | Dental Providers |
| Street Address |
1964 GALLOWS RD STE 220 |
| City | VIENNA |
| State | VA |
| Zip Code | 22182-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942775 | Khalina Boyce | Behavior Technician | 8000 Towers Crescent Drive, 13th Floor, Vienna, VA 22182 | 2020-11-03 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1326550989 | Acro Medical Group, LLC | Psychiatry & Neurology | 2106 Gallows Rd, Ste F, Vienna, VA 22182 | 2017-11-03 |
| 1063930816 | Hira Sarwar | Speech-Language Pathologist | 8229 Boone Blvd Suite 660, Vienna, VA 22182 | 2017-08-31 |
| 1205368388 | Visiting Angels | Point of Service | 2106-e Gallows Rd, Vienna, VA 22182 | 2017-03-29 |
| 1578923165 | Nina Sanjay Vani | Physical Therapist | 8320 Old Courthouse Rd Ste 401, Vienna, VA 22182 | 2016-02-25 |
| 1023489119 | Camille Eunice Abelardo | Physical Therapist | 8206 Leesburg Pike Ste 403, Vienna, VA 22182 | 2015-10-14 |
| 1770954075 | Meghan Macneil | Technician, Other | 2106 Gallows Road Suite E, Vienna, VA 22182 | 2015-10-13 |
| 1215306915 | Mauricio Colomo | Dentist | 8304-c Old Corthouse Rd, Tyson'scorner Dental Art Center, Vienna, VA 22182 | 2015-09-23 |
| 1992133037 | Pediatric Therapy Studio | Speech-Language Pathologist | 8227 Old - Courthouse Rd #115, Vienna, VA 22182 | 2013-10-29 |
| Find all providers in zip 22182 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407214570 | Pearbrite Dental Inc. | Dentist | 301 Maple Ave W Ste 610, Vienna, VA 22180-4300 | 2016-02-04 |
| 1508078270 | Albert A Citron | Dentist | 307 Maple Ave W Ste H, Vienna, VA 22180-4307 | 2007-05-04 |
| 1295758134 | Richard Dellork | Dentist | 124 Park St Se, Suite 205, Vienna, VA 22180-4654 | 2006-07-25 |
| 1992777387 | Fernando Jose Meza | Dentist | 307 Maple Ave W, Suite H, Vienna, VA 22180-4307 | 2006-02-01 |
| 1982690897 | Mary Ann Choby | Dentist | 8133 Leesburg Pike, Suite 610, Vienna, VA 22182-2706 | 2005-09-26 |
| 1033664941 | Maimi Yamaguchi | Dentist | 8310 Old Courthouse Rd, Vienna, VA 22182-3872 | 2016-08-20 |
| 1982008959 | Jong Ryul Kim | Dentist | 8133 Leesburg Pike, Vienna, VA 22182-2751 | 2014-10-20 |
| 1184063141 | Dr. Natasha K Mulko, Dds, LLC | Dentist | 8310 Old Courthouse Rd, Suite 100, Vienna, VA 22182-3872 | 2013-06-22 |
| 1366620783 | Gary John Johnson | Dentist | 8227 Old Courthouse Rd, #201, Vienna, VA 22182-3815 | 2008-02-07 |
| 1689865578 | Richard J. Dellork, Dds | Dentist | 124 Park St Se, Suite 205, Vienna, VA 22180-4654 | 2007-08-06 |
| Find all providers in VIENNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.