Mclean Oral & Maxillofacial Surgery

Specialty details in registry · Mc Lean, VA

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At a glance

1515 Chain Bridge Rd, Mc Lean, VA 22101-4451

NPPES record updated Aug 8, 2007. Public records can lag behind changes at a practice.

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Practice location

1515 Chain Bridge Rd Suite 206
Mc Lean, VA 22101-4451
Professional details: NPI, taxonomy & registry record
NPI1760673214
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
302F00000X
Enumeration date
Aug 8, 2007
Record updated
Aug 8, 2007
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

302F00000X · Primary

License reported: 3844 VA

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

Practice location

1515 Chain Bridge Rd
Suite 206
Mc Lean, VA 22101-4451
Phone
(703) 893-8800
Fax
(703) 893-8845
Mailing address
10440 NEW ASCOT DR

GREAT FALLS, VA 220663421
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Information may be outdated or incomplete.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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