Healthcare Provider Details

I. General information

NPI: 1245880079
Provider Name (Legal Business Name): PAMELA VRANIS DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2019
Last Update Date: 09/04/2021
Certification Date: 09/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5550 FRIENDSHIP BLVD STE 520
CHEVY CHASE MD
20815-7302
US

IV. Provider business mailing address

9220 MARSEILLE DR
POTOMAC MD
20854-2200
US

V. Phone/Fax

Practice location:
  • Phone: 301-648-7749
  • Fax:
Mailing address:
  • Phone: 301-648-7749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN1002026
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: