Provider Demographics
NPI:1598998924
Name:ARMELLINI, DEBORA (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:DEBORA
Middle Name:
Last Name:ARMELLINI
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8219 LEESBURG PIKE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2625
Mailing Address - Country:US
Mailing Address - Phone:703-448-0190
Mailing Address - Fax:
Practice Address - Street 1:8219 LEESBURG PIKE
Practice Address - Street 2:SUITE 100
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2625
Practice Address - Country:US
Practice Address - Phone:703-448-0190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014116801223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics