Provider Demographics
NPI:1669665899
Name:DRS VIGLIONE NAINES & ASSOCIATES INC
Entity Type:Organization
Organization Name:DRS VIGLIONE NAINES & ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-973-4355
Mailing Address - Street 1:3025 BERKMAR DRIVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901
Mailing Address - Country:US
Mailing Address - Phone:434-973-4355
Mailing Address - Fax:434-973-8079
Practice Address - Street 1:3025 BERKMAR DRIVE
Practice Address - Street 2:SUITE 4
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901
Practice Address - Country:US
Practice Address - Phone:434-973-4355
Practice Address - Fax:434-973-8079
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DRS VIGLIONE NAINES & ASSOCIATES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401410717122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty