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Deactivated NPI 1720164270 Deactivated / Inactive NPI Female Practitioner

Dr. Estela Pena , DDS

Dentist - General Practice • Ashburn, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Estela Pena has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 27, 2006
NPI Deactivation Date October 12, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Estela Pena, DDS was a registered Dentist - General Practice practicing in Ashburn, VA. Throughout an active medical career spanning 11 years, Dr. Pena provided care at the practice location at 43480 YUKON DR until profile deactivation on 2017-10-12.

Practice Location & Contact Primary Location

Practice Address

43480 Yukon Dr
Suite 204

Ashburn, VA 201476984

Telephone 7037298277
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ashburn, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
35 Specialists

Practicing in Ashburn, VA (3535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401410933

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1730873878

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 12, 2017

Record deactivated on October 12, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 43480 YUKON DR, SUITE 204, ASHBURN, VA 201476984 (Tel: 7037298277)

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Updated Business Mailing Address July 08, 2007

Registered at 22575 WELBORNE MANOR SQ, ASHBURN, VA 201483147 (Tel: 7038589726)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ESTELA PENA, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #0401410933 in VA)

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Initial NPI Registration & Enumeration October 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720164270
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2006
Last Update: July 08, 2007
Deactivation Date: October 12, 2017

Mailing Address

22575 Welborne Manor Sq

Ashburn, VA 201483147

Phone: 7038589726

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.