Daczkowski Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0401410230 Issued in VA

Legal business name

DACZKOWSKI ORTHODONTICS

Doing business as

Dr D's Smiles

Practice address

8715 Stonewall Road
Manassas, VA 20110

Phone

(703) 361-4278

Fax

(703) 361-2449

NPI assigned

Oct 9, 2015

Organization subpart

No

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

Authorized official

Name

Telisa Lynn Kidd-Wise

Title

Practice Manager

Phone

(703) 361-4278

Specialties & licenses 1

Addresses

Other names 1

• Dr D's Smiles Doing business as

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1093186512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 STONEWALL ROAD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-361-4278",
            "fax_number": "703-361-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 STONEWALL ROAD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-361-4278",
            "fax_number": "703-361-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DACZKOWSKI ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "KIDD-WISE",
        "authorized_official_first_name": "TELISA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "703-361-4278"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401410230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr D's Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leigh D'Lugos, LPC, MED, MPA
• D&D Dental Manassass, PLLC
• Tele Da-Silveira
• Daar Care Group
• Athanasia Dacey
• T. Wesley Daczkowski
• Olakunbi Opeyemi Dada
• Dae Heung
• Rodeline Dalge
• Stephanie Mariederosa Dangerfield, OTD- OTR

• Orthodontics and Dentofacial Orthopedics Dentistry in Manassas, VA
• Providers in Manassas, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.