OrganizationActive
Daczkowski Orthodontics
NPI 1093186512 · Orthodontics and Dentofacial Orthopedics Dentistry · Manassas, VA
Provider details
- NPI number
- 1093186512
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Telisa Kidd-Wise, Practice Manager(703) 361-4278
- License
- 0401410230 (VA)
Specialties & taxonomies
Dental Providers
Practice location
8715 Stonewall Road
Manassas, VA 20110
Phone: (703) 361-4278
Fax: (703) 361-2449
Approximate (ZIP-level) locationGet directions
Mailing address
8715 Stonewall Road
Manassas, VA 20110
Other names (DBA / former)
- Doing business as
- Dr D'S Smiles
Registry dates
- Enumerated
- 2015-10-09
- Last updated
- 2017-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.