Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GENE ALLEN VANDERVORT JR., D.D.S./M.D.
ActiveDR. GENE ALLEN VANDERVORT JR., D.D.S./M.D. is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in ASHBURN, Virginia. NPI 1679548010 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · ASHBURN, VA
Registration Details
- NPI Number
- 1679548010
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2006 (20.287961780855 yrs)
- Last Updated
- Jul 9, 2009
- License
-
0101102662 (VA)
Practice Information
- Address
-
44340 PREMIER PLAZASUITE 100ASHBURN, VA, 201475074Browse VA providers · Browse ZIP 20147
- Phone
- 7037298700
- Fax
- 7037295300
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
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.