Provider Demographics
NPI:1841675030
Name:ROBB, DANIELLE ELIZABETH (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:ELIZABETH
Last Name:ROBB
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:ELIZABETH
Other - Last Name:EASTERLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:22855 BRAMBLETON PLZ STE 200
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20148-4871
Mailing Address - Country:US
Mailing Address - Phone:703-574-2174
Mailing Address - Fax:
Practice Address - Street 1:22855 BRAMBLETON PLZ STE 200
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20148-4871
Practice Address - Country:US
Practice Address - Phone:703-574-2174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04420002401223X0400X
VA04014155641223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics