# NORTHERN VIRGINIA ENDODONTIC ASSOCIATES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639460504
- **Authorized official:** DR. ROBERT A CHERON DMD, MS (MANAGING MEMBER)
- **Authorized official phone:** (267) 252-0125

## Contact information

- **Practice address:** 3833 FAIRFAX DR, SUITE 440, ARLINGTON, VA 22203-1772
- **Practice address phone:** (267) 252-0125
- **Mailing address:** 1105 RUSSELL RD, ALEXANDRIA, VA 22301-2436
- **Mailing address phone:** (267) 252-0125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 0401412778 | VA | Yes |

## Other

- **Enumeration date:** 04/27/2011
- **Last updated:** 04/27/2011