Provider Demographics
NPI:1598078776
Name:SMITH, RORY NICHOLAS SILVESTRI (DDS)
Entity Type:Individual
Prefix:DR
First Name:RORY
Middle Name:NICHOLAS SILVESTRI
Last Name:SMITH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:RORY
Other - Middle Name:NICHOLAS
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:50 S PICKETT ST STE 120
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-7206
Mailing Address - Country:US
Mailing Address - Phone:703-370-5437
Mailing Address - Fax:703-370-5473
Practice Address - Street 1:50 S PICKETT ST STE 120
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-7206
Practice Address - Country:US
Practice Address - Phone:703-370-5437
Practice Address - Fax:703-370-5473
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014139051223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry