# ORAL SURGERY ASSOCIATES OF NORTHERN VIRGINIA, LTD.

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

## Provider details

- **NPI number:** 1962693051
- **Authorized official:** DR. JAMES ALBERT PELL DDS (PRESIDENT)
- **Authorized official phone:** (703) 751-7841

## Contact information

- **Practice address:** 101 S WHITING ST, SUITE 106, ALEXANDRIA, VA 22304-3418
- **Practice address phone:** (703) 751-7841
- **Mailing address:** 101 S WHITING ST, SUITE 106, ALEXANDRIA, VA 22304-3418
- **Mailing address phone:** (703) 751-7841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 0401006414 | VA | Yes |

## Other

- **Enumeration date:** 08/05/2007
- **Last updated:** 09/14/2011