Vandervort, Gene Allen

Vandervort, Gene Allen is an individual health care provider with primary practice located at 44340 Premier Plaza Suite 100, Ashburn VA 20147-5074. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Vandervort, Gene Allen can be contacted via phone (703) 729-8700.

Contact Information

Primary practice address
44340 Premier Plaza Suite 100 Ashburn VA 20147-5074
Phone: (703) 729-8700
Fax: (703) 729-5300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 0101102662 Virginia

Profile Details

NPI number 1679548010
LBN Legal business name Vandervort, Gene Allen
Credentials D.D.S./M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jul 9th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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