# AMY TON DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunrise Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740793355
- **Authorized official:** DR. AMY TON DDS (OWNER)
- **Authorized official phone:** (703) 943-8686

## Contact information

- **Practice address:** 11868 SUNRISE VALLEY DR STE 100, RESTON, VA 20191-3320
- **Practice address phone:** (703) 860-6700
- **Practice address fax:** (703) 860-6657
- **Mailing address:** 11868 SUNRISE VALLEY DR STE 100, RESTON, VA 20191-3320
- **Mailing address phone:** (703) 860-6700
- **Mailing address fax:** (703) 860-6657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401414171 | VA | Yes |
| 1223P0300X | Periodontics | 0401414161 | VA | — |

## Other

- **Enumeration date:** 11/06/2017
- **Last updated:** 11/06/2017
