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Active NPI 1487821427 Organization (Entity Type 2)

Ruby Ann E Bisson, Dmd, Pc

Preferred Provider Organization • Manassas, VA

About Ruby Ann E Bisson, Dmd, Pc NPI 1487821427 Summary

Ruby Ann E Bisson, Dmd, Pc is a verified healthcare organization specializing in Preferred Provider Organization operating in Manassas, VA. Located at 10670 CRESTWOOD DR STE B, this facility provides patient care and medical services under National Provider Identifier (NPI) 1487821427.

Administrative operations and authorized compliance are overseen by Murrie Lufsey (Office Manager).

The facility is associated with 3 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

10670 Crestwood Dr Ste B

Manassas, VA 201094408

Telephone 7033610555

Fax 7033616255

Authorized Official Information

Authorized Contact Name

Murrie Lufsey

Title / Role

Office Manager

Official Telephone

7033610555

Facility Classifications & Specialties

Preferred Provider Organization Primary Taxonomy

NUCC Taxonomy Code: 305R00000X

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked

Dr. Ameer Hadi , DMD NPI 1104486315

Dentist

Manassas, VA

View Practitioner Profile →

Dr. Genevieve Devera , DDS NPI 1508071465

Dentist - General Practice

Manassas, VA

View Practitioner Profile →

Dr. Ruby Ann Bisson , DMD NPI 1700069358

Dentist - General Practice

Manassas, VA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active May 09, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 09, 2008

Registered at 10670 CRESTWOOD DR STE B, MANASSAS, VA 201094408 (Tel: 7033610555)

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Updated Business Mailing Address May 09, 2008

Registered at 10670 CRESTWOOD DR STE B, MANASSAS, VA 201094408 (Tel: 7033610555)

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Organization / Clinic Name Updated May 09, 2008

Operating as RUBY ANN E BISSON, DMD, PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2008

Preferred Provider Organization (License #0401008955 in VA)

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Initial NPI Registration & Enumeration May 09, 2008

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1487821427

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: May 09, 2008

Last Update: May 09, 2008

Update or Correct Listing

Mailing Address

10670 Crestwood Dr Ste B

Manassas, VA 201094408

Phone: 7033610555

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.