# PETER LANZARO DDS PC

> 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:** 1710090261
- **Authorized official:** DR. PETER J LANZARO (DENTIST)
- **Authorized official phone:** (703) 690-0102

## Contact information

- **Practice address:** 8918 VILLAGE SHOPS DR, FAIRFAX STATION, VA 22039-2610
- **Practice address phone:** (703) 690-0102
- **Practice address fax:** (703) 690-0830
- **Mailing address:** 8918 VILLAGE SHOPS DR, FAIRFAX STATION, VA 22039-2610
- **Mailing address phone:** (703) 690-0102
- **Mailing address fax:** (703) 690-0830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 40401007298 | VA | Yes |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 11/10/2015