Provider Demographics
NPI:1679945075
Name:R.A. MORABITO DDS PLC
Entity Type:Organization
Organization Name:R.A. MORABITO DDS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:MORABITO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-919-6336
Mailing Address - Street 1:729 LAWTON ST
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-1511
Mailing Address - Country:US
Mailing Address - Phone:703-534-9160
Mailing Address - Fax:703-237-6761
Practice Address - Street 1:6200 WILSON BLVD
Practice Address - Street 2:SUITE 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:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POTOMAC VALLEY DENTAL CARE PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-24
Last Update Date:2015-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty