Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205967874 Individual Practitioner Female Practitioner

Dr. Nicole Van , DDS, PC

Dentist - General Practice • Vienna, VA

Professional Overview & Biography Verified Profile Summary

Dr. Nicole Van, DDS, PC is a registered healthcare professional specializing in Dentist - General Practice in Vienna, VA. Practice services are available at 139A CHURCH ST NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

139a Church St Nw

Vienna, VA 221804508

Telephone 7035560091

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Vienna, VA

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

Practicing in Vienna, 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

CMS Verified: 2024-12-11
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401008633

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

9 Historical Events
📍
Updated Practice Location December 11, 2024

Registered at 139A CHURCH ST NW, VIENNA, VA 221804508 (Tel: 7035560091)

📍
Updated Business Mailing Address December 11, 2024

Registered at 139A CHURCH ST NW, VIENNA, VA 221804508 (Tel: 7035560091)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2024

Dentist (License #0401008633 in VA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 8300 GREENSBORO DR, SUITE #150, MCLEAN, VA 221023605 (Tel: 7035560091)

📍
Updated Business Mailing Address July 08, 2007

Registered at 8300 GREENSBORO DR, SUITE #150, MCLEAN, VA 221023605 (Tel: 7035560091)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as NICOLE VAN, D.D.S, P.C.

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

Dentist (License #0401008633 in VA)

🟢
Initial NPI Registration & Enumeration March 08, 2007

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: 1205967874
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2007
Last Update: December 11, 2024
Sole Proprietor: Yes

Mailing Address

139a Church St Nw

Vienna, VA 221804508

Phone: 7035560091

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.