Olmedo Ivan Villavicencio in Annandale - General Practice
Olmedo Ivan Villavicencio - NPI 1013059450
Olmedo Ivan Villavicencio is a General Practice in Annandale, Virginia. Olmedo Ivan Villavicencio practices all healthcare services and medical treatments related to General Practice. The NPI Number for Olmedo Ivan Villavicencio is 1013059450. The last update date is 2007-07-08.
Olmedo Ivan Villavicencio's current location address is 7501 Little River Tpke Ste 105, Annandale, Virginia. You can contact this provider via phone number 7033542878 and fax number 7033542712. The mailing address for Olmedo Ivan Villavicencio is 7501 Little River Tpke Ste 105, Annandale, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Olmedo Ivan Villavicencio |
|---|---|
| Address | 7501 Little River Tpke Ste 105, Annandale, Virginia |
| Phone Number | 7033542878 |
| Fax Number | 7033542712 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1013059450 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7501 Little River Tpke Ste 105 |
|---|---|
| City | Annandale |
| State | Virginia (VA) |
| Post Code | 220032923 |
| Phone Number | 7033542878 |
| Fax Number | 7033542712 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 401007760 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identification code assigned to Olmedo Ivan Villavicencio by the Centers for Medicare & Medicaid Services?
The Olmedo Ivan Villavicencio has been issued the NPI (National Provider Identifier) 1013059450. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Olmedo Ivan Villavicencio is physically located?
The Olmedo Ivan Villavicencio is situated at the following address: 7501 Little River Tpke Ste 105, Annandale, VA 220032923.
What is Olmedo Ivan Villavicencio's specialized field of practice, and what is the corresponding taxonomy classification code?
The Olmedo Ivan Villavicencio's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
When did the Olmedo Ivan Villavicencio receive its 1013059450?
The Olmedo Ivan Villavicencio was issued its 1013059450 on 2007-02-13, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Olmedo Ivan Villavicencio most recently updated or revised?
The information pertaining to Olmedo Ivan Villavicencio, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.