Provider Demographics
NPI:1083625719
Name:ALMY, DIANA M (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:M
Last Name:ALMY
Suffix:
Gender:F
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10618 SPOTSYLVANIA AVENUE
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408
Mailing Address - Country:US
Mailing Address - Phone:540-898-7211
Mailing Address - Fax:540-898-5081
Practice Address - Street 1:10618 SPOTSYLVANIA AVENUE
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408
Practice Address - Country:US
Practice Address - Phone:540-898-7211
Practice Address - Fax:540-898-5081
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014108111223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1696431OtherUNITED CONCORDIA/TRICARE
VA173879OtherANTHEM BCBS
VA10811OtherDELTA DENTAL