| Oral Surgery Associates Of Northern Virginia, Ltd. | |
|
101 S Whiting St Suite 106 Alexandria VA 22304-3418 | |
| (703) 751-7841 | |
| Not Available |
| Full Name | Oral Surgery Associates Of Northern Virginia, Ltd. |
|---|---|
| Speciality | Dentist |
| Location | 101 S Whiting St, Alexandria, Virginia |
| Authorized Official Name and Position | James Albert Pell (PRESIDENT) |
| Authorized Official Contact | 7037517841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Associates Of Northern Virginia, Ltd. 101 S Whiting St Suite 106 Alexandria VA 22304-3418 Ph: (703) 751-7841 | Oral Surgery Associates Of Northern Virginia, Ltd. 101 S Whiting St Suite 106 Alexandria VA 22304-3418 Ph: (703) 751-7841 |
| NPI Number | 1962693051 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 09/14/2011 |
| Medicare PECOS PAC ID | 0941274542 |
|---|---|
| Medicare Enrollment ID | O20040820000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962693051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0401006414 (Virginia) | Primary |
| Provider Name | James A Pell |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1598738338 PECOS PAC ID: 0244253128 Enrollment ID: I20121228000196 |
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