Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. OLMEDO IVAN VILLAVICENCIO, D.D.S.
ActiveDR. OLMEDO IVAN VILLAVICENCIO, D.D.S. is a General Dentistry healthcare provider located in ANNANDALE, Virginia. NPI 1013059450 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ANNANDALE, VA
Registration Details
- NPI Number
- 1013059450
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2007 (19.503510028842 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0401007760 (VA)
Practice Information
- Address
-
7501 LITTLE RIVER TPKE STE 105ANNANDALE, VA, 220032923Browse VA providers · Browse ZIP 22003
- Phone
- 7033542878
- Fax
- 7033542712
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in ANNANDALE, VA
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN DOUGLAS WOODDELL | D.D.S. | 1073519146 |
| DR. HENRY INSUK PARK | DDS | 1083688147 |
| DR. RICHARD D FISCHER | D.D.S. | 1922037647 |
| DR. JOHN GEORGE STEPHENSON | DMD | 1396752085 |
| DR. JOHN A MARINO | DDS | 1578678306 |
| JAE KWON BOK | — | 1487756441 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.