DR. PETER J REPOLE SR. D.M.D. - NPI 1174647903

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Dr. Peter J Repole Sr. D.m.d. NPPES

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

DR. PETER J REPOLE SR. D.M.D. (NPI 1174647903) is an individual general practice provider in Sterling, Virginia, licensed in Virginia (0401004478) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1174647903

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PETER J REPOLE SR.Credential: D.M.D.

Location Address21495 RIDGETOP CIR, #200Sterling, VA 20166-6512

Mailing Address21495 Ridgetop Cir, #200Sterling, VA 20166-6512 · (703) 450-8803 · Fax (703) 450-6648

Phone(703) 450-8803

Fax(703) 450-6648

Sole ProprietorYes

Enumeration DateMarch 19, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174647903 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 · 0401004478

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.

21495 RIDGETOP CIR, Sterling, VA 20166

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