Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sergio Fabian Calleja Blanco, DDS

Individual provider Dentist · NPI 1255824371

Sergio Fabian Calleja Blanco, DDS is a Dentist in Annandale, Virginia. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

7611 Little River Tpke Ste 101E
Annandale, VA 22003-2630
Phone: (703) 634-4195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 2901022647 (MI)
Dentist Taxonomy 122300000X · Licence 2901022647 (MI)

Record details

NPI number1255824371
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 13, 2018
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025

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