Provider Demographics
NPI:1982690897
Name:CHOBY, MARY ANN (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:MARY ANN
Middle Name:
Last Name:CHOBY
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8133 LEESBURG PIKE
Mailing Address - Street 2:SUITE 610
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2706
Mailing Address - Country:US
Mailing Address - Phone:703-448-8433
Mailing Address - Fax:703-448-8937
Practice Address - Street 1:8133 LEESBURG PIKE
Practice Address - Street 2:SUITE 610
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2706
Practice Address - Country:US
Practice Address - Phone:703-448-8433
Practice Address - Fax:703-448-8937
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-26
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA59571223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics