Provider Demographics
NPI:1770706996
Name:IKARS V. LANS DDS AND ASSOCIATES, P.C.
Entity type:Organization
Organization Name:IKARS V. LANS DDS AND ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IKARS
Authorized Official - Middle Name:V
Authorized Official - Last Name:LANS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-729-1400
Mailing Address - Street 1:44110 ASHBURN SHOPPING PLZ
Mailing Address - Street 2:SUITE 166
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-3999
Mailing Address - Country:US
Mailing Address - Phone:703-729-1400
Mailing Address - Fax:703-729-1739
Practice Address - Street 1:44110 ASHBURN SHOPPING PLZ
Practice Address - Street 2:SUITE 166
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-3999
Practice Address - Country:US
Practice Address - Phone:703-729-1400
Practice Address - Fax:703-729-1739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010051961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty