National Provider Identifier Database

TRISTATE ORAL SURGERY PLC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

TRISTATE ORAL SURGERY PLC
5659 COLUMBIA PIKE
SUITE 100
FALLS CHURCH, VA22041-2878
Phone: 703-417-9840
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for TRISTATE ORAL SURGERY PLC

NPI Number 1386050532
Legal business name
LBN
TRISTATE ORAL SURGERY PLC
Authorized official AYESHA NAWAB - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/09/2014
Last updated 07/09/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0401413171

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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