MEDICARE: DR. ANGELA LANI AUSTIN DMD

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	1223P0221X	Pediatric Dentistry	0401411222	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942235627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELA LANI AUSTIN DMD

Provider Business Mailing Address
First Line	:	6303 LITTLE RIVER TPKE STE 345
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-5101
Country	:	US
Telephone Number	:	202-257-0727
Fax Number	:

Provider Business Practice Location Address
First Line	:	6303 LITTLE RIVER TPKE
Second Line	:	SUITE 345
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-5000
Country	:	US
Telephone Number	:	703-942-8404
Fax Number	:

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	02/09/2026

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