Provider Demographics
NPI:1255494027
Name:JOSEPH M. ARZADON, MD, DDS, PC
Entity Type:Organization
Organization Name:JOSEPH M. ARZADON, MD, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VIKKI
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-330-3223
Mailing Address - Street 1:9110 RAILROAD DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MANASSAS PARK
Mailing Address - State:VA
Mailing Address - Zip Code:20111
Mailing Address - Country:US
Mailing Address - Phone:703-330-3223
Mailing Address - Fax:
Practice Address - Street 1:9110 RAILROAD DR
Practice Address - Street 2:SUITE 100
Practice Address - City:MANASSAS PARK
Practice Address - State:VA
Practice Address - Zip Code:20111
Practice Address - Country:US
Practice Address - Phone:703-330-3223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty