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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 035518600 | 05 |
Other Name | Type Code |
---|---|
Loudoun Pediatric Dentistry | Doing Business As Name - Organization |
Street Address |
43490 YUKON DR STE 105 |
City | ASHBURN |
State | VA |
Zip Code | 20147-7303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
Find all providers in zip 20147 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
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 |
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 |
Find all providers in ASHBURN |
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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.