Provider Demographics
NPI:1235436908
Name:TRUSMILES DENTAL, PLC
Entity Type:Organization
Organization Name:TRUSMILES DENTAL, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:D
Authorized Official - Last Name:TRUVAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-980-8460
Mailing Address - Street 1:4501 DALY DR STE 105
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-3707
Mailing Address - Country:US
Mailing Address - Phone:703-980-8460
Mailing Address - Fax:703-980-8460
Practice Address - Street 1:4501 DALY DR STE 105
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-3707
Practice Address - Country:US
Practice Address - Phone:703-980-8460
Practice Address - Fax:703-980-8460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-16
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014101081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty