Individual
GRACE I GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1890 PRESTON WHITE DR STE 200, RESTON, VA 20191-5430
(703) 437-8811
Mailing address
13007 PINEY GLADE RD, HERNDON, VA 20171-2956
(571) 296-6978
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401419379
VA
Other
Enumeration date
02/23/2023
Last updated
07/25/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us