NPI 1053714766

Family Orthodontics of Virginia LLC

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Springfield, VA

Practice location

Address: 6225 Brandon Ave STE 170, Springfield, VA 22150-2525
Phone: (404) 389-1950
Fax: (678) 444-4152
Mailing address: 1350 Spring St NW STE 600, Atlanta, GA 30309-2870

Authorised official

Name: Jeannine Bartch
Title: Credentialing Manager
Phone: (404) 389-1950

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 0401414164 (VA)

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Registry record

NPI: 1053714766
Entity type: Organization
NPI issued: 8 Oct 2014
Record last updated: 8 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.