Provider Demographics
NPI:1912043068
Name:REANGBER, SINA (DDS)
Entity Type:Individual
Prefix:
First Name:SINA
Middle Name:
Last Name:REANGBER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5391 MERCHANTS VIEW SQ
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20169-5436
Mailing Address - Country:US
Mailing Address - Phone:571-248-7389
Mailing Address - Fax:571-248-0700
Practice Address - Street 1:5391 MERCHANTS VIEW SQ
Practice Address - Street 2:
Practice Address - City:HAYMARKET
Practice Address - State:VA
Practice Address - Zip Code:20169-5436
Practice Address - Country:US
Practice Address - Phone:571-248-7389
Practice Address - Fax:571-248-0700
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014109321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice