Provider Demographics
NPI:1477652154
Name:MORABITO, ROBERT ANTHONY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ANTHONY
Last Name:MORABITO
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 1:729 LAWTON ST
Mailing Address - Street 2:
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-1511
Mailing Address - Country:US
Mailing Address - Phone:703-734-1337
Mailing Address - Fax:703-734-1338
Practice Address - Street 1:6200 WILSON BLVD
Practice Address - Street 2:114
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-3203
Practice Address - Country:US
Practice Address - Phone:703-534-9160
Practice Address - Fax:703-237-6761
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010088931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice