DR. GENE ALLEN VANDERVORT JR. (NPI# 1679548010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679548010 |
| Entity Type | Individual |
| Full Name | DR. GENE ALLEN VANDERVORT JR. |
| Credential | D.D.S./M.D. |
| Practice Address |
44340 Premier Plaza Suite 100 Ashburn VA 20147-5074 |
| Practice Telephone | 7037298700 |
| Practice Fax Number | 7037295300 |
| Mailing Telephone | 7037298700 |
| Mailing Fax Number | 7037295300 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2009-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 0101102662 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
44340 PREMIER PLAZA SUITE 100 |
| City | ASHBURN |
| State | VA |
| Zip Code | 20147-5074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982617932 | Rupinder K. Sethi | Pediatrics | 44340 Premier Plaza, Ste. 120, Ashburn, VA 20147 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
| 1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
| 1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
| 1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
| 1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
| 1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
| 1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
| Find all providers in zip 20147 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450319 | Kipley Powell | Oral & Maxillofacial Surgery | Vcuhs Dept of Oral&maxillofacial Residency, 980566, 1250 E. Marshall Street, Richmond, VA 23298-0566 | 2020-06-04 |
| 1235499328 | Daniel Brett Bostock | Oral & Maxillofacial Surgery | 2843 Hartland Rd Ste 150, Falls Church, VA 22043-3543 | 2012-05-22 |
| 1003131731 | Philip J. Pandolfi, Dmd, Pllc | Oral & Maxillofacial Surgery | 2105 Evelyn Byrd Ave, Harrisonburg, VA 22801-5431 | 2010-04-06 |
| 1851424675 | James Hs Whitney Dds PC | Oral & Maxillofacial Surgery | 2071 Pro Pointe Ln., Harrisonburg, VA 22801 | 2007-03-13 |
| 1164591970 | Craig Ernest Vigliante | Oral & Maxillofacial Surgery | 19440 Golf Vista Plaza, Ste 130, Leesburg, VA 20176 | 2006-11-07 |
| 1437144789 | James H Priest | Oral & Maxillofacial Surgery | 420 Hamilton Blvd, South Boston, VA 24592-5200 | 2005-09-13 |
| 1831624618 | Christopher Loschiavo | Oral & Maxillofacial Surgery | 1250 E Marshall St, Box 980566, Richmond, VA 23298-5051 | 2017-04-28 |
| 1063711208 | Sarah Elizabeth Snow Summers | Oral & Maxillofacial Surgery | 244 Hydraulic Ridge Rd, Charlottesville, VA 22901-8124 | 2011-03-25 |
| 1588867113 | Viriginia Oral Facial & Implant Surgery | Oral & Maxillofacial Surgery | 7601 Lewinsville Rd, Suite 203, Mclean, VA 22102-2814 | 2007-06-10 |
| 1417010430 | James Henderson Smith Whitney | Oral & Maxillofacial Surgery | 9626 S Congress St, New Market, VA 22844-9450 | 2006-12-19 |
| Find all providers with the same taxonomy | ||||
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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.