Individual provider · Type 1 NPI

Jason P. Kiangsoontra, DDS, MS, FACP

Prosthodontics · Gainesville, VA

NPI number 1114364551 Active

Practice location

7521 Virginia Oaks Dr Ste 230
Gainesville, VA 20155-3831

Mailing address

3148 Goldenwave Ct
Fairfax, VA 22031-1863

Other practice locations

  • 515 Delaware St SE, 9-176 Moos Health Science Tower, Minneapolis, MN 55455-0357 · (612) 615-3195

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics 1223P0700XR558 (MN)
Prosthodontics Primary 1223P0700X0401415189 (VA)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

10 other providers at this address

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About NPI 1114364551

Jason P. Kiangsoontra, DDS, MS, FACP's National Provider Identifier is 1114364551, issued on May 24, 2013. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Gainesville, VA. The record was last updated on Dec 8, 2018.