| Dominick J. Pisciotta, D.d.s., Ltd. | |
|
6408 Grovedale Dr Ste 100 Franconia VA 22310-2596 | |
| (703) 313-0404 | |
| (703) 313-6870 |
| Full Name | Dominick J. Pisciotta, D.d.s., Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6408 Grovedale Dr Ste 100, Franconia, Virginia |
| Authorized Official Name and Position | Dominick J. Pisciotta (DENTIST) |
| Authorized Official Contact | 7033130404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominick J. Pisciotta, D.d.s., Ltd. 6408 Grovedale Dr Ste 100 Franconia VA 22310-2596 Ph: (703) 313-0404 | Dominick J. Pisciotta, D.d.s., Ltd. 6408 Grovedale Dr Ste 100 Franconia VA 22310-2596 Ph: (703) 313-0404 |
| NPI Number | 1346395084 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 04/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346395084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401006180 (Virginia) | Primary |
Cpt & Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6422 Grovedale Dr Ste 101a, Franconia, VA 22310 Phone: 703-559-5786 |