Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811902224 Individual Practitioner Male Practitioner

Dr. Dattathri B Malyavantham , DDS

Dentist - General Practice • Sterling, VA

Professional Overview & Biography Verified Profile Summary

Dr. Dattathri Malyavantham, DDS is a registered healthcare professional specializing in Dentist - General Practice in Sterling, VA. Practice services are available at 21475 RIDGETOP CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21475 Ridgetop Cir
Suite 230

Sterling, VA 201666580

Telephone 7034449900
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Sterling, VA

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

Practicing in Sterling, 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 00401410653

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

2 Associated Practitioners
NPI 1225303704

Doctor of Dental Surgery

Sangeeta Kumar

Dentist - Prosthodontics

NPI 1497535272

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 21475 RIDGETOP CIR, SUITE 230, STERLING, VA 201666580 (Tel: 7034449900)

📍
Updated Business Mailing Address July 08, 2007

Registered at 21475 RIDGETOP CIR, SUITE 230, STERLING, VA 201666580 (Tel: 7034449900)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DATTATHRI MALYAVANTHAM, DDS

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

Dentist (License #00401410653 in VA)

🟢
Initial NPI Registration & Enumeration July 31, 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: 1811902224
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

21475 Ridgetop Cir, Suite 230

Sterling, VA 201666580

Phone: 7034449900

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.