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.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
0401006304
Virginia
Primary
Oral and Maxillofacial Surgery
Secondary
Oral and Maxillofacial Surgery
0401410305
Virginia
Secondary
Oral and Maxillofacial Surgery
0401413171
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
292375
Other
Maryland
Mamsi Op Choice Alliance
384081
Other
Virginia
Bcbs
008000531
Medicaid
Virginia
455676
Other
Maryland
Mamsi Op Choice Alliance
008000492
Medicaid
Virginia
384338
Other
Virginia
Bcbs
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 13 May, 2024.