RISE ORTHODONTIC STUDIO, PLLC
NPI 1194562587
Clinic/Center - Dental in Winchester, VA

Active since July 11, 2024
3119 VALLEY AVE STE 110, WINCHESTER, VA 22601(847) 533-1349 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Dental

About RISE ORTHODONTIC STUDIO, PLLC

This page provides the complete NPI Profile along with additional information for Rise Orthodontic Studio, Pllc, a provider established in Winchester, Virginia operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1194562587 assigned on July 2024. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Ashley Elizabeth Larson Dmd (Orthodontist)

NPI
1194562587 Verify this NPI
Provider Name
RISE ORTHODONTIC STUDIO, PLLC
Entity Type
Organization
Location Address
3119 VALLEY AVE STE 110 WINCHESTER, VA 22601
Location Phone
(847) 533-1349
Mailing Address
102 W PALL MALL ST WINCHESTER, VA 22601
Mailing Phone
(847) 533-1349
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2024
Last Update Date
07-11-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ASHLEY ELIZABETH LARSON DMD

Authorized Official Title
ORTHODONTIST
Authorized Official Phone
(847) 533-1349

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194562587, enumerated as an "organization" on July 11, 2024.

The provider is located at 3119 VALLEY AVE STE 110 WINCHESTER, VA 22601 and the phone number is (847) 533-1349.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.