Provider Demographics
NPI:1417104589
Name:ARRIA, ADAM W (DDS)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:W
Last Name:ARRIA
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 1:19 CATOCTIN CIR NE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-3100
Mailing Address - Country:US
Mailing Address - Phone:703-737-0070
Mailing Address - Fax:703-737-0075
Practice Address - Street 1:19 CATOCTIN CIR NE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-3100
Practice Address - Country:US
Practice Address - Phone:703-737-0070
Practice Address - Fax:703-737-0075
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10265122300000X
VA0401412962122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist