Provider Demographics
NPI:1083821532
Name:ALTEMEMI, NADINE (DDS)
Entity Type:Individual
Prefix:
First Name:NADINE
Middle Name:
Last Name:ALTEMEMI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7233 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-3411
Mailing Address - Country:US
Mailing Address - Phone:703-644-7300
Mailing Address - Fax:703-866-4319
Practice Address - Street 1:7233 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-3411
Practice Address - Country:US
Practice Address - Phone:703-644-7300
Practice Address - Fax:703-866-4319
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014116221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice