Provider Demographics
NPI:1114047032
Name:ELLINGTON, PAUL DAVID (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:DAVID
Last Name:ELLINGTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44115 WOODRIDGE PKWY STE 280
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:VA
Mailing Address - Zip Code:20176-5199
Mailing Address - Country:US
Mailing Address - Phone:703-858-2380
Mailing Address - Fax:703-858-7001
Practice Address - Street 1:44115 WOODRIDGE PARKWAY, SUITE 280
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176
Practice Address - Country:US
Practice Address - Phone:703-858-2380
Practice Address - Fax:703-858-7001
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAVA6974122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist