DR. DOUGLAS M ARENDT (NPI# 1679574966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679574966 |
Entity Type | Individual |
Full Name | DR. DOUGLAS M ARENDT |
Credential | DDS, MS |
Practice Address |
10347 B Democracy Lane Ste 200 Fairfax VA 22030 |
Mailing Address |
Po Box 1447 Fairfax VA 22038-1447 |
Practice Telephone | 7032815970 |
Mailing Telephone | 7032815970 |
Enumeration Date | 2005-08-09 |
Last Update Date | 2015-08-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
0401004979 | VA | Dental Providers |
N | 291U00000X | Clinical Medical Laboratory | 49D1041147 | VA | Laboratories |
Street Address |
10347 B DEMOCRACY LANE STE 200 |
City | FAIRFAX |
State | VA |
Zip Code | 22030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
Find all providers in zip 22030 |
Taxonomy Code | 1223P0106X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Pathology |
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003302472 | Vcu Diagnostic Services LLC | Dentist | 520 N 12th St # 315, Richmond, VA 23298-5064 | 2018-07-09 |
1932483153 | Paul K Hartmann Dds Pllc | Dentist | 1323 Jamestown Rd, Suite 203, Williamsburg, VA 23185-3367 | 2011-10-06 |
1881923654 | Spring Creek Family Dentistry & Orthodontics | Dentist | 34 Jefferson Court, Gordonsville, VA 22942 | 2009-12-08 |
1871641381 | Ahmad Amin | Dentist | 7800 Sudley Rd, 7810, Manassas, VA 20109-2804 | 2007-01-08 |
1730255498 | Dr. Walter K. Murphy, Dds | Dentist | 7009 Lee Davis Road, Mechanicsville, VA 23111 | 2006-11-27 |
1215958541 | W. William Wentz, Jr., Dds, PC & Herbert C. Manry, Dds, PC | Dentist | 501 Rison St Ste 110, Danville, VA 24541-2458 | 2006-07-21 |
1902823792 | Curtis Sergio Vendetti | Dentist | 1240 Perimeter Pkwy Ste 401, Virginia Beach, VA 23454 | 2006-07-16 |
1033135926 | George Kevorkian Jr. | Dentist | 895 E Washington Ave, Vinton, VA 24179-2105 | 2006-07-14 |
1992730808 | Sanford Neil Morrison | Dentist | 904 Kempsville Rd Ste 102, Virginia Beach, VA 23464-5571 | 2006-07-11 |
1023046919 | Stephen L Bissell | Dentist | 11971 Iron Bridge Road, Chester, VA 23831 | 2006-06-29 |
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.