MEDICARE: CNS DENTAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305R00000X	Preferred Provider Organization	041411557	VA

General Provider Information

NPI Number	:	1598058281
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CNS DENTAL

Provider Business Mailing Address
First Line	:	3650 S GLEBE RD STE 195
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22202-5606
Country	:	US
Telephone Number	:	703-963-0996
Fax Number	:

Provider Business Practice Location Address
First Line	:	3650 S. GLEBE RD. #195
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22202
Country	:	US
Telephone Number	:	703-963-0996
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ PRESIDENT
Name	:	DR. CARA SCHANTZ
Credential	:	DDS
Telephone Number	:	202-285-9406

Provider Enumeration Date	:	05/27/2011
Last Update Date	:	05/27/2011

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Directions to “CNS DENTAL ” Practice Location

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