Dr. Olmedo Ivan Villavicencio is a Annandale, Virginia based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Olmedo Ivan Villavicencio is 0401007760 for General Practice Dentistry in Virginia. His current practice location is 7501 Little River Tpke Ste 105, Annandale. Patients can reach him at 703-354-2878.
Dr. Olmedo Ivan Villavicencio is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Olmedo Ivan Villavicencio speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Olmedo Ivan Villavicencio
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
7501 Little River Tpke Ste 105, Annandale, Virginia, 22003-2923
Phone:
703-354-2878
Fax:
703-354-2712
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 are as mentioned below.
NPI Number:
1013059450
NPI Enumeration Date:
13 Feb, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Olmedo Ivan Villavicencio are as mentioned below.
License Number
Specialization
State
Status
0401007760
General Practice Dentistry
Virginia
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:
7501 Little River Tpke Ste 105, Annandale, Virginia
Zip:
22003-2923
Phone Number:
703-354-2878
Fax Number:
703-354-2712
Patients can reach Dr. Olmedo Ivan Villavicencio at 7501 Little River Tpke Ste 105, Annandale, Virginia or can call to book an appointment on 703-354-2878. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.