Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON P. KIANGSOONTRA, DDS, MS, FACP
ActiveDR. JASON P. KIANGSOONTRA, DDS, MS, FACP is a Pediatric Dentistry healthcare provider located in GAINESVILLE, Virginia. NPI 1114364551 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · GAINESVILLE, VA
Registration Details
- NPI Number
- 1114364551
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2013 (13.192785914052 yrs)
- Last Updated
- Dec 8, 2018
- Licenses
-
R558 (MN)0401415189 (VA)
Practice Information
- Address
-
7521 VIRGINIA OAKS DR STE 230GAINESVILLE, VA, 201553831Browse VA providers · Browse ZIP 20155
- Phone
- 7037547151
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in GAINESVILLE, VA
| Name | Credential | NPI |
|---|---|---|
| DR. MARIANO ANDRES POLACK | DDS, MS | 1679773188 |
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.