Put6395 Pllc is a Dental Clinic in Reston, Virginia. It is located at 12005 Sunrise Valley Dr Ste 130, Reston, VA and its contact number is 571-249-2839. The authorized person for Put6395 Pllc is Dr. Punyawat Laohakanjanasiri
who is Practice Owner of the clinic and their contact number is 571-446-3554.
Put6395 Pllc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Put6395 Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Put6395 Pllc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 12005 Sunrise Valley Dr Ste 130, Reston,
Virginia, 20191-3468 |
| Phone: | 571-249-2839 |
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: | Dr. Punyawat Laohakanjanasiri |
| Position: | Practice Owner |
| Contact Number: | 571-446-3554 |
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 Put6395 Pllc clinic are as mentioned below.
| NPI Number: | 1275287112 |
| NPI Enumeration Date: | 09 Feb, 2022 |
| NPI Last Update On: | 29 Apr, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Put6395 Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Put6395 Pllc
12005 Sunrise Valley Dr Ste 130,
Reston, Virginia |
| Zip: | 20191-3534 |
| Phone Number: | 571-446-3554 |
Patients can reach Put6395 Pllc at
12005 Sunrise Valley Dr Ste 130, Reston, Virginia or can
call to book an appointment on 571-249-2839.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.