Drs Mcilveen & Freedman PC

NPI #1821134636 in Herndon, Virginia

Provider Information

NPI Number: 1821134636
Entity Type: Organization
Organization Name: Drs Mcilveen & Freedman PC
Primary Specialty: Dentist - Pediatric Dentistry
Enumeration Date: Jan 29, 2007
Last Updated: Jul 23, 2008

Practice Location

Address: 131 ELDEN ST
Address 2: SUITE 130
City: Herndon
State: Virginia
ZIP Code: 20170
Phone: (703) 689-3900

Authorized Official

Name: DR. LEZLEY P MCILVEEN, DDS MS
Title: PRESIDENT DENTIST
Phone: (703) 689-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X	Primary

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