Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DATTATHRI B MALYAVANTHAM, DDS
Active Sole ProprietorDR. DATTATHRI B MALYAVANTHAM, DDS is a General Dentistry healthcare provider located in STERLING, Virginia. NPI 1811902224 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · STERLING, VA
Registration Details
- NPI Number
- 1811902224
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2006 (19.856062606415 yrs)
- Last Updated
- Jul 8, 2007
- License
-
00401410653 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
21475 RIDGETOP CIRSUITE 230STERLING, VA, 201666580Browse VA providers · Browse ZIP 20166
- Phone
- 7034449900
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in STERLING, VA
| Name | Credential | NPI |
|---|---|---|
| HOWARD M MITNICK JR. | DDS | 1609829373 |
| DR. RICHARD P. RUBINO | DDS | 1114958477 |
| DR. MINA MODARESI | DDS | 1073626818 |
| DR. ALI R AGHAEE | DDS | 1669566014 |
| DR. BRUCE S NOURI | DDS | 1255426367 |
| DR. JOYCE XIA | DDS | 1962589044 |
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.