Lisa a. Marvil, D.M.D., P.L.L.C.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

LISA A. MARVIL, D.M.D., P.L.L.C.

Practice address

17341-B Pickwick Drive
Purcellville, VA 20132

Phone

(540) 338-4588

Fax

(540) 675-4044

NPI assigned

Sep 16, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Alison Marvil, D.M.DNPI 1285651257

Title

Owner/Periodontics

Phone

(703) 297-6655

Specialties & licenses 1

Addresses

Other names 1

• Loudoun Periodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa A Marvil, D.M.D, M.H.S

  • Periodontics
  • Purcellville, VA
  • NPI 1285651257
  NPD Authorized official

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1497361471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17341-B PICKWICK DRIVE",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "20132",
            "telephone_number": "540-338-4588",
            "fax_number": "540-675-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17341-B PICKWICK DRIVE",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "20132",
            "telephone_number": "540-338-4588",
            "fax_number": "540-675-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA A. MARVIL, D.M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "MARVIL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ALISON",
        "authorized_official_title_or_position": "OWNER/PERIODONTICS",
        "authorized_official_telephone_number": "703-297-6655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loudoun Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Periodontics in Purcellville, VA
• Providers in Purcellville, VA by specialty
• Periodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.