Implant & Dental Art, PLLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

0401412601 Issued in VA

Legal business name

IMPLANT & DENTAL ART, PLLC

Practice address

8321 Old Courthouse Rd
Suite 120
Vienna, VA 22182-3817

Phone

(703) 992-0674

NPI assigned

Jul 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Juanli Guo, DMD, MS, PHDNPI 1700191251

Title

President

Phone

(703) 992-0674

Specialties & licenses 1

Addresses

Other names 1

• Implant and Dental Art Other name

Locations

Practitioners 1

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

• Juanli Guo, DMD, MS, PHD, FACP

  • Prosthodontics
  • Vienna, VA
  • NPI 1700191251
  NPD (past) Authorized official

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1992147730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 OLD COURTHOUSE RD",
            "address_2": "SUITE 120",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823817",
            "telephone_number": "703-992-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8321 OLD COURTHOUSE RD",
            "address_2": "SUITE 120",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823817",
            "telephone_number": "703-992-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPLANT & DENTAL ART, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "JUANLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-992-0674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS, PHD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "VA",
            "license": "0401412601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Implant and Dental Art",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Areej Iftaiha, PSYD.
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• Swetha Inducuri
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• Bethany Ingram, M.D.
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• Prosthodontics in Vienna, VA
• Providers in Vienna, VA by specialty
• Prosthodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.