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DR. OLMEDO IVAN VILLAVICENCIO D.D.S.
NPI 1013059450
Dentist - General Practice in Annandale, VA

Active since February 13, 2007
7501 LITTLE RIVER TPKE STE 105, ANNANDALE, VA 22003(703) 354-2878(703) 354-2712 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Olmedo Ivan Villavicencio D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. OLMEDO IVAN VILLAVICENCIO D.D.S. (NPI 1013059450) is an individual general practice provider in Annandale, Virginia, licensed in Virginia (0401007760) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1013059450
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. OLMEDO IVAN VILLAVICENCIOCredential: D.D.S.
Location Address7501 LITTLE RIVER TPKE STE 105Annandale, VA 22003-2923
Mailing Address7501 Little River Tpke Ste 105Annandale, VA 22003-2923 · (703) 354-2878 · Fax (703) 354-2712
Phone(703) 354-2878
Fax(703) 354-2712
Sole ProprietorNo
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013059450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401007760
Definition
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.
7501 LITTLE RIVER TPKE STE 105, Annandale, VA 22003
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olmedo Villavicencio's NPI number?

The NPI number for Olmedo Villavicencio is 1013059450. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Olmedo Villavicencio located?

Olmedo Villavicencio practices at 7501 Little River Tpke Ste 105, Annandale, VA 22003. The listed phone number is (703) 354-2878.

What is Olmedo Villavicencio's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Olmedo Villavicencio accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Olmedo Villavicencio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Olmedo Villavicencio was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.