Bristow Endodontic Associates PLLC
Organization Active NPI Endodontics · Bristow, VA
NPI 1326799545 · NPPES record last updated Jan 11, 2022
Key facts
- NPI
- 1326799545
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endodontics 1223E0200X
- Legal business name
- BRISTOW ENDODONTIC ASSOCIATES PLLC
- Practice address
- 9070 Devlin Rd Ste 140
Bristow, VA 20136-1042 - Phone
- (267) 252-0125
- NPI assigned
- Jan 11, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert A Cheron, DMD, MS
- Title
- Managing Member
- Phone
- (703) 528-8382
Practitioners 1
-
Robert A Cheron, DMD
National Provider Directory
Locations
9070 Devlin Rd
Ste 140
Bristow, VA 20136
Phone (267) 252-0125
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics |
1223E0200X | Yes |
Addresses
Primary practice location
9070 Devlin Rd Ste 140
Bristow, VA 20136-1042
Mailing address
400 N View Ter
Alexandria, VA 22301-2612
Phone (267) 252-0125
Other providers in Bristow, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.