Dr. Myles R Digennaro , DDS
Dentist - General Practice • Manassas, VA
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. Myles Digennaro has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Myles Digennaro, DDS was a registered Dentist - General Practice practicing in Manassas, VA. Throughout an active medical career spanning 18 years, Dr. Digennaro provided care at the practice location at 10635 CRESTWOOD DR until profile deactivation on 2023-09-20.
Practice Location & Contact Primary Location
10635 Crestwood Dr
Manassas, VA 201093433
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Manassas, VA
Practicing in Manassas, VA (3535 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 20, 2023
NPI status registered as active in NPPES database
Registered at 10635 CRESTWOOD DR, MANASSAS, VA 201093433 (Tel: 7033685090)
Registered at 10635 CRESTWOOD DR, MANASSAS, VA 201093433 (Tel: 7033685090)
Recorded as MYLES DIGENNARO, DDS
Dentist (License #0401003946 in VA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
10635 Crestwood Dr
Manassas, VA 201093433
Phone: 7033685090
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