Healthcare Provider Details

I. General information

NPI: 1255494027
Provider Name (Legal Business Name): JOSEPH M. ARZADON, MD, DDS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9110 RAILROAD DR SUITE 100
MANASSAS PARK VA
20111
US

IV. Provider business mailing address

9110 RAILROAD DR SUITE 100
MANASSAS PARK VA
20111
US

V. Phone/Fax

Practice location:
  • Phone: 703-330-3223
  • Fax:
Mailing address:
  • Phone: 703-330-3223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: VIKKI MARSH
Title or Position: BILLING MANAGER
Credential:
Phone: 703-330-3223