Lansdowne Oral Surgery

Oral and Maxillofacial Dental Clinic

 
19441 Golf Vista Plaza, Suite 130, Lansdowne
    Virginia, 20176

 703-723-7858    703-723-7882 Maps & Directions
Lansdowne Oral Surgery is a Oral and Maxillofacial Dental Clinic in Lansdowne, Virginia. It is located at 19441 Golf Vista Plaza, Suite 130, Lansdowne, VA and its contact number is 703-723-7858. The authorized person for Lansdowne Oral Surgery is Ms. Kaiti R Grim who is Administrative Dirct of the clinic and their contact number is 703-723-7858. The primary license number for Lansdowne Oral Surgery is 0401006304 (Oral and Maxillofacial Surgery) in Virginia.
Lansdowne 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:
Lansdowne Oral Surgery Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointments.
Name: Lansdowne Oral Surgery
Specialization: Oral and Maxillofacial Surgery
Clinic Address:19441 Golf Vista Plaza, Suite 130, Lansdowne,
Virginia, 20176
Phone:703-723-7858
Fax:703-723-7882
Authorized/Official Person Profile:
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: Ms. Kaiti R Grim
Position: Administrative Dirct
Contact Number: 703-723-7858
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 Lansdowne Oral Surgery clinic are as mentioned below.
NPI Number: 1093889008
NPI Enumeration Date: 20 Nov, 2006
NPI Last Update On: 21 Aug, 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 Lansdowne Oral Surgery are as mentioned below.
SpecializationLicense NumberStateStatus
Oral and Maxillofacial Surgery 0401006304VirginiaPrimary
Oral and Maxillofacial Surgery Secondary
Oral and Maxillofacial Surgery 0401410305VirginiaSecondary
Oral and Maxillofacial Surgery 0401413171VirginiaSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
292375OtherMarylandMamsi Op Choice Alliance
384081OtherVirginiaBcbs
008000531MedicaidVirginia
455676OtherMarylandMamsi Op Choice Alliance
008000492MedicaidVirginia
384338OtherVirginiaBcbs
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Lansdowne Oral Surgery
19441 Golf Vista Plaza, Suite 130
Lansdowne, Virginia
Zip: 20176
Phone Number: 703-723-7858
Fax Number: 703-723-7882
Patients can reach Lansdowne Oral Surgery at 19441 Golf Vista Plaza, Suite 130, Lansdowne, Virginia or can call to book an appointment on 703-723-7858. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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