Village Oral And Implant Surgery

Specialty details in registry · Leesburg, VA

Call (855) 373-7688 Directions

At a glance

1503 Dodona Terrace Sw, Leesburg, VA 20175

NPPES record updated Jun 7, 2013. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1503 Dodona Terrace Sw 105
Leesburg, VA 20175
Professional details: NPI, taxonomy & registry record
NPI1730527110
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
1223S0112X
Enumeration date
Jun 7, 2013
Record updated
Jun 7, 2013
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223S0112X · Primary

License reported: 0401413779 VA

Specialty details in registry

1223S0112X

License reported: 0401413499 VA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1503 Dodona Terrace Sw
105
Leesburg, VA 20175
Phone
(855) 373-7688
Mailing address
1503 DODONA TERRACE SW
105
LEESBURG, VA 20175
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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