Search › Virginia › Oral & Maxillofacial Surgery (D.M.D.)
Gene Vandervort, D.D.S./M.D
NPI 1679548010 · on the registry since 2006
Practice
- Address
- 44340 Premier Plaza
Suite 100
Ashburn, VA 20147 - Phone
- (703) 729-8700
- Fax
- (703) 729-5300
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Oral & Maxillofacial Surgery (D.M.D.)
204E00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia