Chantilly Oral Surgery is a Oral and Maxillofacial Dental Clinic in Chantilly, Virginia. It is located at 3910 Centerville Rd, Ste 110, Chantilly, VA and its contact number is 703-668-9494. The authorized person for Chantilly Oral Surgery is Mrs. Kaiti Rose Grim
who is Administrative Director of the clinic and their contact number is 703-668-9494. The primary license number for Chantilly Oral Surgery is 0401006304 (Oral and Maxillofacial Surgery) in Virginia. Chantilly Oral Surgery Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Chantilly Oral Surgery Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Kaiti Rose Grim
Position:
Administrative Director
Contact Number:
703-668-9494
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Chantilly Oral Surgery clinic are as mentioned below.
NPI Number:
1265547947
NPI Enumeration Date:
20 Aug, 2006
NPI Last Update On:
27 Jun, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Chantilly Oral Surgery are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
0401006304
Virginia
Primary
Oral and Maxillofacial Surgery
0401410305
Virginia
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
105289
Other
Trigon Bcbs Anthem
555676
Other
Mamsi Opt Choice Alliance
1696192
Other
United Concordia
1006881
Other
United Health Care
105288
Other
Trigon Bcbs Anthem
1667155
Other
United Concordia
392375
Other
Mamsi Opt Choice Alliance
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Chantilly Oral Surgery 3910 Centerville Rd, Ste 110 Chantilly, Virginia
Zip:
20151-3280
Phone Number:
703-668-9494
Fax Number:
703-668-9495
Patients can reach Chantilly Oral Surgery at 3910 Centerville Rd, Ste 110, Chantilly, Virginia or can call to book an appointment on 703-668-9494. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.