Provider Demographics
NPI:1205173655
Name:DRS WHISTON PATTERSON & CORCORAN PC
Entity type:Organization
Organization Name:DRS WHISTON PATTERSON & CORCORAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:T
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:III
Authorized Official - Credentials:DMD
Authorized Official - Phone:703-534-6500
Mailing Address - Street 1:6400 ARLINGTON BLVD
Mailing Address - Street 2:LOBBY LEVEL
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-2325
Mailing Address - Country:US
Mailing Address - Phone:703-534-6500
Mailing Address - Fax:703-534-0039
Practice Address - Street 1:6500 ARLINGTON BLVD
Practice Address - Street 2:LOBBY LEVEL
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-2352
Practice Address - Country:US
Practice Address - Phone:703-534-6500
Practice Address - Fax:703-534-0039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty