MEDICARE: DR. SYLVIE SARMENT DDS, MS

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	0401411552	VA

General Provider Information

NPI Number	:	1760623169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYLVIE SARMENT DDS, MS

Provider Business Mailing Address
First Line	:	4660 KENMORE AVE
Second Line	:	SUITE 312
City	:	ALEXANDRIA
State	:	VA
Zip	:	22304-1313
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5200 LYNGATE CT
Second Line	:
City	:	BURKE
State	:	VA
Zip	:	22015-1631
Country	:	US
Telephone Number	:	703-978-1903
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2009
Last Update Date	:	03/13/2009

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