Provider Demographics
NPI:1184692626
Name:MONACELL, JOHN F (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:MONACELL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:JOHN F
Other - Middle Name:MONACELL, DDS, PC/
Other - Last Name:MONACELL ORTHODONTICS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1343 E WILLIAMSBURG RD
Mailing Address - Street 2:
Mailing Address - City:SANDSTON
Mailing Address - State:VA
Mailing Address - Zip Code:23150-1723
Mailing Address - Country:US
Mailing Address - Phone:804-737-6757
Mailing Address - Fax:804-737-1745
Practice Address - Street 1:1343 E WILLIAMSBURG RD
Practice Address - Street 2:
Practice Address - City:SANDSTON
Practice Address - State:VA
Practice Address - Zip Code:23150-1723
Practice Address - Country:US
Practice Address - Phone:804-737-6757
Practice Address - Fax:804-737-1745
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-10
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010044641223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics