Healthcare Provider Details

I. General information

NPI: 1003184052
Provider Name (Legal Business Name): SILVIA C. RANNO D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2011
Last Update Date: 07/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2136 GALLOWS RD STE B
DUNN LORING VA
22027-1036
US

IV. Provider business mailing address

2136 GALLOWS RD STE B
DUNN LORING VA
22027-1036
US

V. Phone/Fax

Practice location:
  • Phone: 703-698-5400
  • Fax:
Mailing address:
  • Phone: 703-698-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number0401413424
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: