# OCCOQUAN FAMILY & COSMETIC DENTISTRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1700172749
- **Authorized official:** LINDSAY SCHIATTAREGGIA (FRONT DESK)
- **Authorized official phone:** (703) 490-9094

## Contact information

- **Practice address:** 1392 OLD BRIDGE RD, WOODBRIDGE, VA 22192-2708
- **Practice address phone:** (703) 490-9094
- **Mailing address:** 1392 OLD BRIDGE RD, WOODBRIDGE, VA 22192-2708
- **Mailing address phone:** (703) 490-9094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2011
- **Last updated:** 06/28/2011