NPI 1033217765

Roger Hennigh, DMD

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry Woodbridge, VA

Practice location

Address: 3320 Noble Pond Way Suite 109, Woodbridge, VA 22193-1469
Phone: (703) 640-1000

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 0401410987 (VA)

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Registry record

NPI: 1033217765
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2006
Record last updated: 9 Nov 2015

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.