Provider Demographics
NPI:1922199363
Name:SMERNOFF, GERALD N (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:N
Last Name:SMERNOFF
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 LITTLE RIVER TPKE
Mailing Address - Street 2:G4
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-2923
Mailing Address - Country:US
Mailing Address - Phone:703-941-4212
Mailing Address - Fax:703-642-1486
Practice Address - Street 1:7501 LITTLE RIVER TPKE
Practice Address - Street 2:G4
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-2923
Practice Address - Country:US
Practice Address - Phone:703-941-4212
Practice Address - Fax:703-642-1486
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA31711223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics