| Loudoun Dental Smiles | |
|
540 Fort Evans Rd Suite 100 Leesburg VA 20176-4098 | |
| (703) 779-7779 | |
| (703) 779-8005 |
| Full Name | Loudoun Dental Smiles |
|---|---|
| Speciality | Dentist |
| Location | 540 Fort Evans Rd, Leesburg, Virginia |
| Authorized Official Name and Position | Sandra Varney (DENTIST) |
| Authorized Official Contact | 7037797779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loudoun Dental Smiles 540 Fort Evans Rd Suite 100 Leesburg VA 20176-4098 Ph: (703) 779-7779 | Loudoun Dental Smiles 540 Fort Evans Rd Suite 100 Leesburg VA 20176-4098 Ph: (703) 779-7779 |
| NPI Number | 1679704035 |
|---|---|
| Provider Enumeration Date | 08/04/2009 |
| Last Update Date | 09/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679704035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401004114 (Virginia) | Secondary |
| 122300000X | Dentist | 0401005237 (Virginia) | Primary |
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