DR. RICHARD DELLORK (NPI# 1295758134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295758134 |
| Entity Type | Individual |
| Full Name | DR. RICHARD DELLORK |
| Credential | DDS |
| Practice Address |
124 Park St Se Suite 205 Vienna VA 22180-4654 |
| Practice Telephone | 7032815522 |
| Practice Fax Number | 7032812142 |
| Mailing Telephone | 7032815522 |
| Mailing Fax Number | 7032812142 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
6478 | VA | Dental Providers |
| Street Address |
124 PARK ST SE SUITE 205 |
| City | VIENNA |
| State | VA |
| Zip Code | 22180-4654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093995607 | Northern Virginia Pain Management Associates, LLC | Pain Medicine | 124 Park St Se, Suite 203, Vienna, VA 22180-4654 | 2007-11-12 |
| 1689865578 | Richard J. Dellork, Dds | Dentist | 124 Park St Se, Suite 205, Vienna, VA 22180-4654 | 2007-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023519386 | Erika Ruiz | Dentist | Ave Miraflores #6439 - A, Tijuana, BAJA CALIFORNIA 22180 | 2018-02-22 |
| 1992220206 | John Alexander | Massage Therapist | 122 Maple Ave W, Vienna, VA 22180 | 2017-08-08 |
| 1548620214 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 2675 Avenir Place, Vienna, VA 22180 | 2016-02-24 |
| 1992163190 | Peter J Mcgarry | Chiropractor | 301 Maple Ave. W. Ste 515, Vienna, VA 22180 | 2016-02-02 |
| 1629479563 | Jaimie Vettichira Samuel | Pediatrics | 100 East St Se Ste 301, Vienna, VA 22180 | 2014-09-10 |
| 1326454562 | N R Emad Dds PC | Dentist | 307 F Maple Ave. W #100, Vienna, VA 22180 | 2014-07-09 |
| 1881020568 | Albert Juan Garcia | Obstetrics & Gynecology | 926 Fairway Dr., N.e., Vienna, VA 22180 | 2013-09-25 |
| 1295174662 | Sallie Twentyman | Social Worker | 129 Park St Ne Ste 12b, Vienna, VA 22180 | 2013-06-19 |
| 1124390992 | Gilda T. Clarke | Counselor | 133 Park St. Ne, Vienna, VA 22180 | 2012-02-08 |
| 1740573898 | Metro Eyes LLC | Technician/Technologist | 256 E Maple Avenue, Vienna, VA 22180 | 2011-05-24 |
| Find all providers in zip 22180 | ||||
| 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 |
|---|---|---|---|---|
| 1134614092 | Specialist Care Endodontics LLC | Dentist | 1964 Gallows Rd Ste 220, Vienna, VA 22182-3814 | 2018-06-24 |
| 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 |
| 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.