Rustico Dumlao Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410590 Issued in VA

Practice address

3320 Noble Pond Way Ste 109
Woodbridge, VA 22193-1470

Phone

(703) 640-1000

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alan H. Golden, D.D.S. & Roger a. Hennigh, D.M.D., P.C.

  • Pediatric Dentistry
  • Woodbridge, VA
  • NPI 1912037300

  General Practice

  NPD
• Golden Dental Associates, P.C.

  • Pediatric Dentistry
  • Burke, VA
  • NPI 1891825741
  NPD
• Howard Hoffman DDS Springfield PC

  • Dental Clinic/Center
  • Springfield, VA
  • NPI 1356553929
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1780804377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9661 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313757",
            "telephone_number": "703-425-3737",
            "fax_number": "703-425-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 NOBLE POND WAY STE 109",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931470",
            "telephone_number": "703-640-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMLAO",
        "first_name": "RUSTICO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharquita R Dudley, LCSW
• Gloria Bartolome Duffy, MD
• Gisselle Dula Lopez
• Mita Dulabh, D.M.D
• Dulima Medical Services LLC
• Bindu Mercy Dunbar
• Draquel Christina Dunham
• Kayla Richard Dunkerson
• Wayne Alan Dunn, LCSW
• Duramed LLC

• General Practice Dentistry in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.