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Active NPI 1871655571 Individual Practitioner Male Practitioner

Dr. Robert Elio Divalentin , DDS

Dentist - General Practice • Vienna, VA

Professional Overview & Biography Verified Profile Summary

Dr. Robert Divalentin, DDS is a registered healthcare professional specializing in Dentist - General Practice in Vienna, VA. Practice services are available at 502 MAPLE AVE W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

502 Maple Ave W

Vienna, VA 221804239

Telephone 7032810800
Associated Practice Facility / Clinic
🏢 Aesthetic & Laser Plastic Surgery Center Facility NPI 1588095525

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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401004403

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
Dr. Jamal Yousefi , MD

Clinic/Center - Ambulatory Surgical

NPI 1699165753

Doctor of Medicine (M.D.)

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 502 MAPLE AVE W, VIENNA, VA 221804239 (Tel: 7032810800)

📍
Updated Business Mailing Address July 08, 2007

Registered at 9922 LINDEL LN, VIENNA, VA 221814034 (Tel: 7032812370)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT DIVALENTIN, DDS

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

Dentist (License #0401004403 in VA)

🟢
Initial NPI Registration & Enumeration December 16, 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: 1871655571
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 16, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

9922 Lindel Ln

Vienna, VA 221814034

Phone: 7032812370

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.