Provider Demographics
NPI:1760856553
Name:WARRENTON DENTAL ARTS
Entity Type:Organization
Organization Name:WARRENTON DENTAL ARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:DESIO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-347-5000
Mailing Address - Street 1:24B JOHN MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-3214
Mailing Address - Country:US
Mailing Address - Phone:540-347-5000
Mailing Address - Fax:540-347-5152
Practice Address - Street 1:24B JOHN MARSHALL ST
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-3214
Practice Address - Country:US
Practice Address - Phone:540-347-5000
Practice Address - Fax:540-347-5152
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POTOMAC VALLEY DENTA PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty