Provider Demographics
NPI:1477759298
Name:KRAVITZ, NEAL D (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:D
Last Name:KRAVITZ
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Gender:M
Credentials:DMD, MS
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Mailing Address - Street 1:25055 RIDING PLAZA
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20152-5918
Mailing Address - Country:US
Mailing Address - Phone:703-722-2900
Mailing Address - Fax:703-722-2903
Practice Address - Street 1:25055 RIDING PLAZA
Practice Address - Street 2:SUITE 110
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20152-5918
Practice Address - Country:US
Practice Address - Phone:703-722-2900
Practice Address - Fax:703-722-2903
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2020-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD137161223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics