Galleria Dental Aesthetics

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401006141 Issued in VA

Legal business name

GALLERIA DENTAL AESTHETICS

Practice address

1600 Tysons Blvd
Suite 120
MC Lean, VA 22102-4865

Phone

(703) 448-1020

Fax

(703) 448-2442

NPI assigned

Aug 7, 2015

Last updated

Aug 7, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chong Lee, DDSNPI 1598975070

Title

Owner

Phone

(703) 448-1020

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chong Lee, D.D.S

  • General Practice Dentistry
  • McLean, VA
  • NPI 1598975070
  NPD (past) Authorized official
• Sonia E Francioni-Vulaj, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Westwood, NJ
  • NPI 1083709729
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1063898427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 TYSONS BLVD",
            "address_2": "SUITE 120",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024865",
            "telephone_number": "703-448-1020",
            "fax_number": "703-448-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 TYSONS BLVD",
            "address_2": "SUITE 120",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024865",
            "telephone_number": "703-448-1020",
            "fax_number": "703-448-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERIA DENTAL AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-448-1020",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Edwin Froelich, M.D.
• Fuad Issa MD PLLC
• Fusion Dental
• Sandra Ingrida Gailitis, M.D.
• Lauren Gallagher, RBT
• Niral Bharat Gandhi, M.D.
• Carina Eloisa Garcia
• Mark Steven Gardner, LCSW
• Gregory R Garman, PT
• Mina Garrett-Scott, MD

• General Practice Dentistry in McLean, VA
• Providers in McLean, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.