Provider Demographics
NPI:1679686604
Name:FILIPPONE, LOUIS C (DDS, PC)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:C
Last Name:FILIPPONE
Suffix:
Gender:M
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6138 REDWOOD SQ CTR STE 103
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-4264
Mailing Address - Country:US
Mailing Address - Phone:703-815-0127
Mailing Address - Fax:703-815-0128
Practice Address - Street 1:6138 REDWOOD SQ CTR STE 103
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-4264
Practice Address - Country:US
Practice Address - Phone:703-815-0127
Practice Address - Fax:703-815-0128
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010066681223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics