John David Alachnowicz, DDS
Individual provider Active NPI General Practice Dentistry · Dumfries, VA
NPI 1649342247 · NPPES record last updated Feb 3, 2009
Key facts
- NPI
- 1649342247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- VA0401410045 (VA)
- Practice address
- 3759 Fettler Park Dr
Dumfries, VA 22025-1946 - Phone
- (703) 634-2529
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160328000235 | VA | Order and Referring Only - Dentist |
8527365139 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VA0401410045 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. David Alachnowicz DDS PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | VA0401410045 | VA | Yes |
Addresses
Primary practice location
3759 Fettler Park Dr
Dumfries, VA 22025-1946
Mailing address
3759 Fettler Park Dr
Dumfries, VA 22025-1946
Phone (703) 634-2529
Other providers in Dumfries, VA
- Afrie Logistics LLC
- Priscilla Agbale
- Kristen Aguilar
- Tracy Agyeman-Badu
- Elizabeth Ansel Zizer Ahonkhai
- Alexander T Augusta Med Ctr-Ft Belvoir
- Laily Ali Zada
- Align Physical Therapy LLC
- All Care Services, LLC
- Allegiance Healthcare Inc
All providers in Dumfries, VA · General Practice Dentistry in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.