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ALFONSO LUIS PATRON DDS
NPI 1346460300
Dentist - Periodontics in Herndon, VA

Active since May 01, 2007
505 HUNTMAR PARK DR STE 150, HERNDON, VA 20170(703) 736-0900 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alfonso Luis Patron Dds NPPES

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

ALFONSO LUIS PATRON DDS (NPI 1346460300) is an individual periodontics provider in Herndon, Virginia, licensed in Virginia (0401411192) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1346460300
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameALFONSO LUIS PATRONCredential: DDS
Location Address505 HUNTMAR PARK DR STE 150Herndon, VA 20170-5139
Mailing Address1221 Massachusetts Ave Nw Apt 719Washington, DC 20005-5320 · (267) 265-2265
Phone(703) 736-0900
Sole ProprietorNo
Enumeration DateMay 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1346460300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in VA · 0401411192
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
505 HUNTMAR PARK DR STE 150, Herndon, VA 20170
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Accepted Insurance

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SLEEP SERENITY DEVICE , LLC
Clinic/Center (Dental)
505 HUNTMAR PARK DR STE 150
HERNDON, VA 20170
Fairfax County (703) 736-0900

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 Alfonso Patron's NPI number?

The NPI number for Alfonso Patron is 1346460300. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Alfonso Patron located?

Alfonso Patron practices at 505 Huntmar Park Dr Ste 150, Herndon, VA 20170. The listed phone number is (703) 736-0900.

What is Alfonso Patron's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Alfonso Patron accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Alfonso Patron 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 Alfonso Patron 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.