Dr. Gene Allen Vandervort Jr., DDS/MD
Dr. Gene Allen Vandervort Jr., DDS/MD is an Oral & Maxillofacial Surgery (D.M.D.) in Ashburn, Virginia. Licensed in Virginia. Registered with an NPI since 2006.
- Licensed in
- VA
- In the registry since
- 2006
Practice location Address checks out
44340 Premier Plz Ste 100Ashburn, VA 20147-5074
Phone: (703) 729-8700
Fax: (703) 729-5300
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Specialties & licences
| Oral & Maxillofacial Surgery (D.M.D.) (primary) | Taxonomy 204E00000X · Licence 0101102662 (VA) |
|---|
Record details
| NPI number | 1679548010 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS/MD |
| Sole proprietor | No |
| NPI enumerated | February 21, 2006 |
| Last updated in NPPES | July 9, 2009 |
| Mailing address | 44340 Premier Plaza, Suite 100, Ashburn, VA 20147-5074 |
Other providers in Ashburn
-
Dr. Sanjay I Naraine, DDS
44340 Premier Plz Ste 100, Ashburn, VA 20147-5074 · (703) 729-8700
-
Northern Virginia Oral and Facial Surgery, LLC
20405 Exchange St Ste C-251, Ashburn, VA 20147-5933 · (703) 342-4220