Potomac Surgical Arts,PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

POTOMAC SURGICAL ARTS,PC

Doing business as

Potomac Surgical Arts

Practice address

19440 Golf Vista Plaza
Suite 130
Lansdowne, VA 20176-8264

Phone

(703) 723-5366

Fax

(703) 723-5537

NPI assigned

Nov 26, 2021

Last updated

Nov 26, 2021By 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

Tracey Boyd

Title

Practice Manager

Phone

(703) 723-5366

Specialties & licenses 1

Addresses

Other names 1

• Potomac Surgical Arts Doing business as

Locations

Practitioners 4

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.

• Dustin Bowler, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Glen Allen, VA
  • NPI 1033544937
  NPD (past)
• Craig Ernest Vigliante, MD DMD

  • Plastic Surgery Physician
  • Leesburg, VA
  • NPI 1164591970
  NPD (past)
• Marie-Chantale Farhat, MD, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Cincinnati, OH
  • NPI 1750876942
  NPD (past)
• Alexander Sonesson, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Cicero, NY
  • NPI 1710431093
  NPD (past)

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637884800000",
    "number": "1144987025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19440 GOLF VISTA PLZ STE 130",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768264",
            "telephone_number": "571-239-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19440 GOLF VISTA PLAZA",
            "address_2": "SUITE 130",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768264",
            "telephone_number": "703-723-5366",
            "fax_number": "703-723-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC SURGICAL ARTS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-26",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "703-723-5366"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potomac Surgical Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physical Medicine Associates LTD (National Spine & Pain Centers)
• Physicians Practice and Research, LLC
• Physicians' Ai Inc
• Helena Marshall Pittman, CCC-SLP
• Potomac Palliative Care Group
• Michelle Poynter, PH.D.
• Privia Medical Group, LLC
• Ann Marie Quarantillo, AU.D.
• Kathryn R. Racke, AU.D.
• Gauri Raizada, P.A.

• Oral and Maxillofacial Surgery (Dentist) in Lansdowne, VA
• Providers in Lansdowne, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.