Organization
MCLEAN ORAL & MAXILLOFACIAL SURGERY
Active
Organization
MCLEAN ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC A FORETICH D.D.S., M.A. (OWNER)
(703) 893-8800
Entity
Organization
Contact information
Practice address
1515 CHAIN BRIDGE RD, SUITE 206, MC LEAN, VA 22101-4451
(703) 893-8800
(703) 893-8845
Mailing address
10440 NEW ASCOT DR, GREAT FALLS, VA 22066-3421
(703) 893-8800
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
3844
VA
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up