| Chantilly Oral Surgery | |
|
3910 Centerville Rd Ste 110 Chantilly VA 20151-3280 | |
| (703) 668-9494 | |
| (703) 668-9495 |
| Full Name | Chantilly Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3910 Centerville Rd, Chantilly, Virginia |
| Authorized Official Name and Position | Kaiti Rose Grim (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 7036689494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chantilly Oral Surgery 3910 Centerville Rd Ste 110 Chantilly VA 20151-3280 Ph: (703) 668-9494 | Chantilly Oral Surgery 3910 Centerville Rd Ste 110 Chantilly VA 20151-3280 Ph: (703) 668-9494 |
| NPI Number | 1265547947 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 06/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265547947 | NPI | - | NPPES |
| 105289 | Other | TRIGON BCBS ANTHEM | |
| 555676 | Other | MAMSI OPT CHOICE ALLIANCE | |
| 1696192 | Other | UNITED CONCORDIA | |
| 1006881 | Other | UNITED HEALTH CARE | |
| 105288 | Other | TRIGON BCBS ANTHEM | |
| 1667155 | Other | UNITED CONCORDIA | |
| 392375 | Other | MAMSI OPT CHOICE ALLIANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0401006304 (Virginia) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0401410305 (Virginia) | Secondary |
Dr. Tarek Ashmawy Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5136 Leesburg Pike, Chantilly, VA 22302 Phone: 646-250-6333 | |
Chantilly Modern Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 Phone: 703-214-2113 | |
Claudio Urquiaga Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13948 Lee Jackson Memorial Hwy, Chantilly, VA 20151 Phone: 703-378-5010 | |
Mark A Grimes Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4437 Brookfield Corporate Drive, #107, Chantilly, VA 20151 Phone: 703-222-5400 Fax: 703-222-0470 | |
Chantilly Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3901 Centerview Dr, Suite #t, Chantilly, VA 20151 Phone: 703-467-0214 Fax: 703-467-0568 | |
Diamond Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13948 Lee Jackson Memorial Hwy, Chantilly, VA 20151 Phone: 703-773-1212 Fax: 703-773-1214 | |
Fontes Lee Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4229 Lafayette Center Dr Ste 1400, Chantilly, VA 20151 Phone: 703-378-2000 |