Provider Demographics
NPI:1548878176
Name:VISKI, IONUT SEBASTIAN (DDS)
Entity type:Individual
Prefix:DR
First Name:IONUT
Middle Name:SEBASTIAN
Last Name:VISKI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3299 WOODBURN RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-7316
Mailing Address - Country:US
Mailing Address - Phone:571-723-8348
Mailing Address - Fax:
Practice Address - Street 1:3299 WOODBURN RD STE 200
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-7316
Practice Address - Country:US
Practice Address - Phone:703-560-2672
Practice Address - Fax:703-560-2674
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-20
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18587981223P0700X
390200000X
VA04014185761223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty