Provider Demographics
NPI:1760683452
Name:POPLI, KRIS K (DDS)
Entity Type:Individual
Prefix:DR
First Name:KRIS
Middle Name:K
Last Name:POPLI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8206 LEESBURG PIKE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2614
Mailing Address - Country:US
Mailing Address - Phone:703-448-8600
Mailing Address - Fax:703-564-5131
Practice Address - Street 1:8206 LEESBURG PIKE
Practice Address - Street 2:SUITE 308
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2614
Practice Address - Country:US
Practice Address - Phone:703-448-8600
Practice Address - Fax:703-564-5131
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010075851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice