| Nova Perio Specialists | |
|
21165 Whitfield Pl Ste 107 Sterling VA 20165-7276 | |
| (703) 444-4377 | |
| (703) 444-7383 |
| Full Name | Nova Perio Specialists |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21165 Whitfield Pl Ste 107, Sterling, Virginia |
| Authorized Official Name and Position | Crystal Sparks (MANAGER) |
| Authorized Official Contact | 7034444377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Perio Specialists 21165 Whitfield Pl Ste 107 Sterling VA 20165-7276 Ph: (703) 444-4377 | Nova Perio Specialists 21165 Whitfield Pl Ste 107 Sterling VA 20165-7276 Ph: (703) 444-4377 |
| NPI Number | 1205407467 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 06/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205407467 | NPI | - | NPPES |
| 1598038192 | Other | NPPES | |
| 1114232527 | Other | NPPES | |
| 1306299185 | Other | NPPES | |
| 1710362629 | Other | NPPES | |
| 1689223836 | Other | NPPES | |
| 1720123292 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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