Pleasant Valley Orthodontics
Clinic/Center, Dental in Chantilly, VA. Organization (NPI-2).
NPI number1508022567
StatusActive
Last updated in NPPESJul 30, 2008
Details
- NPI
- 1508022567
- Entity type
- Organization (NPI-2)
- Legal business name
- Pleasant Valley Orthodontics
- Organization subpart
- No
- Enumeration date
- Jul 30, 2008
- Last updated
- Jul 30, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 0401008946 | VA | Yes |
Practice location
4080 Lafayette Center DrSte 160-A
Chantilly, VA 20151-1247
Phone 703-230-6784 · Fax 703-230-0509
Mailing address
4080 Lafayette Center DrSte 160-A
Chantilly, VA 20151-1247
Phone 703-230-6784 · Fax 703-230-0509
Authorized official
Ajit Denis Britto
Owner/Doctor
7032306784
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