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NPI Code Detail

MEDICARE: ALISA DILL D.D.S.

MEDICARE:   ALISA  DILL  D.D.S.
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
1122300000XDentist32157TX
2122300000XDentist3021306VA
31223G0001XGeneral Practice Dentistry32157TX

General Provider Information

NPI Number : 1942756184
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISA DILL D.D.S.
Provider Business Mailing Address
First Line : 13177 PIEDMONT VISTA DR
Second Line :
City : HAYMARKET
State : VA
Zip : 20169-2643
Country : US
Telephone Number : 832-858-9764
Fax Number :
Provider Business Practice Location Address
First Line : 7100 HERITAGE VILLAGE PLZ STE 101
Second Line :
City : GAINESVILLE
State : VA
Zip : 20155-3066
Country : US
Telephone Number : 703-754-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2016
Last Update Date : 06/03/2026

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Directions to “ ALISA DILL D.D.S.” Practice Location

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