DULLES OROFACIAL SURGERY – NPI #1467990895
Clinic/Center

DULLES OROFACIAL SURGERY is an AHC clinic located in CHANTILLY, VA. NPPES has assigned the NPI number 1467990895 to DULLES OROFACIAL SURGERY on February 06, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DULLES OROFACIAL SURGERY below.

NPI Profile for
DULLES OROFACIAL SURGERY

NPI Number
1467990895
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DULLES OROFACIAL SURGERY
Primary location
24805 PINEBROOK RD
SUITE 100
CHANTILLY, VA 20152-4126
Phone: (703) 327-0955 Fax: (703) 327-0956
Mailing address
Same as primary location
Organization Subpart
Yes - DULLES OROFACIAL SURGERY is subpart of another organization.
Authorized Official
EDWARD LONGWE
OFFICE MANAGER
Phone: (703) 327-0955
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 VA 0438000358

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.