S. J. LAN DDS PLLC


Address: 43490 Yukon Dr Ste 105, Ashburn, VA 20147-7303
Phone: 7037710007

S. J. LAN DDS PLLC (NPI# 1275037384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275037384
Entity Type Organization
Organization Name S. J. LAN DDS PLLC
Other Organization Name LOUDOUN PEDIATRIC DENTISTRY
Practice Address 43490 Yukon Dr Ste 105
Ashburn
VA 20147-7303
Mailing Address 22425 Belle Terra Dr
Ashburn
VA 20148-7160
Practice Telephone 7037710007
Mailing Telephone 2408996500
Enumeration Date 2018-03-22
Last Update Date 2020-07-16
Authorized Official Name DR. STEVE J LAN (OWNER)
Authorized Official Telephone 2408996500
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QD0000X Clinic/Center
Specialization: Dental
0401412388 VA Ambulatory Health Care Facilities
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 035518600 05

Other Provider/Organization Names

Other Name Type Code
Loudoun Pediatric Dentistry Doing Business As Name - Organization

Office Location

Street Address 43490 YUKON DR STE 105
City ASHBURN
State VA
Zip Code 20147-7303

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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790101335 Pamela Bui Dentist 44121 Harry Byrd Hwy Ste 265, Ashburn, VA 20147-5672 2014-03-06
1316382112 Jonathon Konz Dentist 42395 Ryan Rd Ste 108, Ashburn, VA 20148-4864 2013-05-07
1437325545 Tuonganh Nguyen Dang Dentist 44025 Pipeline Plz Unit 1-225, Ashburn, VA 20147-5885 2008-05-08
1831603935 Jonathon Konz Dds Pllc Dentist 42395 Ryan Rd Ste 104, Ashburn, VA 20148-4864 2017-11-28
1538419791 Nova Children's Dentistry of Ashburn Dentist 44121 Harry Byrd Hwy, Suite 265, Ashburn, VA 20147-5667 2012-09-14
1629358296 Valerie V. Woo Dentist 21785 Filigree Ct, Suite 208, Ashburn, VA 20147-6213 2011-08-26
1518157718 Patricia Arteaga Wood Dentist 44025 Pipeline Plz, Unit I-225, Ashburn, VA 20147-5885 2007-07-25
1821116534 Valerie V Woo Dmd PC Dentist 21785 Filigree Court, Ashburn, VA 20147 2007-03-27
1114075843 Ashburn Childrens Dentistry Dentist 44025 Pipeline Plz, Unit 1-225, Ashburn, VA 20147-5881 2007-01-08
1356498356 Lynda Dean-duru Dentist 44025 Pipeline Plz, Suite 1-225, Ashburn, VA 20147-5881 2007-01-04
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Competitor

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City ASHBURN
Zip Code 20147

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Dataset Information

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.

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