Emmanuel George Skordalakis, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401410362 Issued in VA

Practice address

46950 Jennings Farm Dr
Suite 160
Sterling, VA 20164-8679

Phone

(703) 421-3000

Fax

(703) 433-9514

NPI assigned

Nov 3, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1700877248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46950 JENNINGS FARM DR STE 160",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201648679",
            "telephone_number": "703-421-3000",
            "fax_number": "703-230-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46950 JENNINGS FARM DR",
            "address_2": "SUITE 160",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201648679",
            "telephone_number": "703-421-3000",
            "fax_number": "703-433-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKORDALAKIS",
        "first_name": "EMMANUEL",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diltaj Singh, DPM
• Harminder Singh
• Shaan Singh
• Yasaman Sizdahkhani
• Ellen Skogsberg, LPC
• Sleep Care Solutions of DC, LLC
• Small Talk Speech Services
• Smile Mission Sterling PLLC
• Alexis Naomi Smith
• Dora Lee Smith, MA. LPC

• Dentist in Sterling, VA
• Providers in Sterling, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.