Chantilly Oral Surgery

LBN: Anh H Pham Dds & Barry R Maharaj Dds Pc
Chantilly Oral Surgery is an health care organization with primary practice located at 3910 Centerville Rd Ste 110, Chantilly VA 20151-3280. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Anh H Pham Dds & Barry R Maharaj Dds Pc can be contacted via phone (703) 668-9494, or through Grim, Kaiti Rose via phone (703) 668-9494.

Contact Information

Primary practice address
3910 Centerville Rd Ste 110 Chantilly VA 20151-3280
Phone: (703) 668-9494
Fax: (703) 668-9495
Website:
Map and Directions
Authorized official contact:
Name: Grim, Kaiti Rose CMOM CERT MEDICAL OF
Phone: (703) 668-9494

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0401006304 Virginia
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0401410305 Virginia

Profile Details

NPI number 1265547947
LBN Legal business name Anh H Pham Dds & Barry R Maharaj Dds Pc
DBA Doing business as Chantilly Oral Surgery
Authorized official Grim, Kaiti Rose CMOM CERT MEDICAL OF
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Jun 27th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265547947 NPPES
Other 105289 TRIGON BCBS ANTHEM
Other 555676 TRIGON BCBS ANTHEM
Other 1696192 TRIGON BCBS ANTHEM
Other 1006881 TRIGON BCBS ANTHEM
Other 105288 TRIGON BCBS ANTHEM
Other 1667155 TRIGON BCBS ANTHEM
Other 392375 TRIGON BCBS ANTHEM

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