DR. MICHAEL VINCENT PICCININO (NPI# 1114011954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114011954 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL VINCENT PICCININO |
| Credential | D.D.S. |
| Practice Address |
10682 Crestwood Dr Ste C Manassas VA 20109-4401 |
| Practice Telephone | 7033688120 |
| Practice Fax Number | 7033615053 |
| Mailing Telephone | 7033688120 |
| Mailing Fax Number | 7033615053 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
0401007785 | VA | Dental Providers |
| Street Address |
10682 CRESTWOOD DR STE C |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295829257 | Drs. Dollard, Piccinino & Thorpe, P.C. | Dentist | 10682 Crestwood Dr Ste C, Manassas, VA 20109-4401 | 2006-10-03 |
| 1073770608 | Matthew Scott Detar | Dentist | 10682 Crestwood Dr Ste C, Manassas, VA 20109-4401 | 2008-05-21 |
| 1275627333 | Jeffrey Robert Thorpe | Dentist | 10682 Crestwood Dr Ste C, Manassas, VA 20109-4401 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
| 1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
| 1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
| Find all providers in zip 20109 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295879948 | John Steven Ehreth | Dentist | 8707 Digges Rd, Manassas, VA 20110-4403 | 2007-02-16 |
| 1295829257 | Drs. Dollard, Piccinino & Thorpe, P.C. | Dentist | 10682 Crestwood Dr Ste C, Manassas, VA 20109-4401 | 2006-10-03 |
| 1073770608 | Matthew Scott Detar | Dentist | 10682 Crestwood Dr Ste C, Manassas, VA 20109-4401 | 2008-05-21 |
| 1275627333 | Jeffrey Robert Thorpe | Dentist | 10682 Crestwood Dr Ste C, Manassas, VA 20109-4401 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898214 | Sally Abdelkarim | Dentist | 556 Garrisonville Rd Ste 200, Stafford, VA 22554-7826 | 2020-07-10 |
| 1225655939 | Avisha Rakesh Shah | Dentist | 3712 Old Forest Rd Ste 100, Lynchburg, VA 24501-6963 | 2020-06-29 |
| 1821621467 | Blessed Smiles | Dentist | 5249 Duke St Ste L-10, Alexandria, VA 22304-2926 | 2020-02-21 |
| 1205307238 | Ideal Endodontics of Woodbridge Pllc | Dentist | 3102 Golansky Blvd Ste 101, Woodbridge, VA 22192-4244 | 2018-12-17 |
| 1154892677 | Prince William Parkway Dental PC | Dentist | 2542 Prince William Pkwy Ste 120, Woodbridge, VA 22192-4149 | 2018-12-10 |
| 1831671353 | Sachin Rastogi Dmd Pllc | Dentist | 6116 Rolling Rd Ste 304, Springfield, VA 22152-1512 | 2018-08-31 |
| 1588143309 | Deepika Ganesh | Dentist | 2601 Swiftrun Rd, Chester, VA 23831-5234 | 2018-08-13 |
| 1134614092 | Specialist Care Endodontics LLC | Dentist | 1964 Gallows Rd Ste 220, Vienna, VA 22182-3814 | 2018-06-24 |
| 1447744131 | Fouad Almalki | Dentist | 1533 Volvo Pkwy, Chesapeake, VA 23320-8489 | 2018-06-18 |
| 1164911863 | Arlington Dental Excellence Specialists Pllc | Dentist | 3801 Fairfax Dr Ste 54, Arlington, VA 22203-1762 | 2018-05-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.