LISA A. MARVIL, D.M.D., P.L.L.C. (NPI# 1497361471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497361471 |
| Entity Type | Organization |
| Organization Name | LISA A. MARVIL, D.M.D., P.L.L.C. |
| Practice Address |
17341-b Pickwick Drive Purcellville VA 20132 |
| Practice Telephone | 5403384588 |
| Practice Fax Number | 5406754044 |
| Mailing Telephone | 5403384588 |
| Mailing Fax Number | 5406754044 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | DR. LISA ALISON MARVIL (OWNER/PERIODONTICS) |
| Authorized Official Telephone | 7032976655 |
| Authorized Official Credential | D.M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Loudoun Periodontics | Doing Business As Name - Organization |
| Street Address |
17341-B PICKWICK DRIVE |
| City | PURCELLVILLE |
| State | VA |
| Zip Code | 20132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760828297 | Purcellville Pediatric Dentistry | Dentist | 17333 Pickwick Dr, Purcellville, VA 20132 | 2013-05-10 |
| 1992945703 | Loudoun Medical Group PC | Internal Medicine | 205 E Hirst Road, Suite 304, Purcellville, VA 20132 | 2009-03-06 |
| 1821242587 | Alice Elizabeth Fields | Psychiatry & Neurology | 17340 Pickwick Dr Ste 130, Purcellville, VA 20132 | 2008-11-07 |
| 1194867036 | Loudoun Family & Relationship Counseling | Social Worker | 215 Loudoun St, Leesburg, VA 20132 | 2007-02-13 |
| 1083785547 | Jacqueline R Fleming | Social Worker | 170 W Main Street, 201, Purcellville, VA 20132 | 2006-11-13 |
| 1023197688 | Carol E Harkrader | Psychiatry & Neurology | 170 West Main St, 204, Purcellville, VA 20132 | 2006-11-03 |
| 1083702112 | John Robert Mcwilliams Jr. | Chiropractor | 101 F South Maple Avenue, Purcellville, VA 20132 | 2006-10-11 |
| 1023106408 | Glenna B. Winnie | Pediatrics | 205 E. Hirst Road, Suite 303, Purcellville, VA 20132 | 2006-10-10 |
| 1548352826 | Peter M Daddio | Chiropractor | 17337b Pickwick Dr, Purcellville, VA 20132 | 2006-09-28 |
| 1285651257 | Lisa A Marvil | Dentist | 17341 Pickwick Dr., Suite B, Purcellville, VA 20132 | 2006-07-16 |
| Find all providers in zip 20132 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285651257 | Lisa A Marvil | Dentist | 17341 Pickwick Dr., Suite B, Purcellville, VA 20132 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624307 | Deena Hadithi Dmd, PC. | Dentist | 7210 Old Keene Mill Rd Ste 3, Springfield, VA 22150-3442 | 2019-11-19 |
| 1689223836 | Alka Panwar | Dentist | 4319 Dale Blvd Ste 6, Woodbridge, VA 22193-2401 | 2019-09-10 |
| 1801445135 | Neha Agarwal | Dentist | 23386 Epperson Sq, Brambleton, VA 20148-5794 | 2019-09-09 |
| 1164999181 | Smba Dentistry, Pllc | Dentist | 2801 Mcrae Rd Ste C1, North Chesterfield, VA 23235-3056 | 2018-10-29 |
| 1750860516 | Khashayar Kordbacheh Changi | Dentist | 3543 W Braddock Rd Ste E2, Alexandria, VA 22302-1903 | 2018-08-11 |
| 1205314309 | Shivangi B Amin | Dentist | 2420 Old Brick Rd Apt 1315, Glen Allen, VA 23060-5995 | 2018-07-31 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1740793355 | Amy Ton Dds Pllc | Dentist | 11868 Sunrise Valley Dr Ste 100, Reston, VA 20191-3320 | 2017-11-06 |
| 1023539301 | Denver James Lyons | Dentist | 521 N 11th St # 980566, Richmond, VA 23298-5045 | 2017-06-27 |
| 1194258095 | Rashmi Ganesh | Dentist | 23371 Bymes Mill Ter, Ashburn, VA 20148-8112 | 2017-04-06 |
| Find all providers with the same taxonomy | ||||
| City | PURCELLVILLE |
| Zip Code | 20132 |
Please comment or provide details below to improve the information on LISA A. MARVIL, D.M.D., P.L.L.C..
| 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.