Provider Demographics
NPI:1386081016
Name:DONGIEUX, ARIADNE HERNANDEZ (DDS)
Entity type:Individual
Prefix:
First Name:ARIADNE
Middle Name:HERNANDEZ
Last Name:DONGIEUX
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 HAYDENPARK LN STE 203
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-7867
Mailing Address - Country:US
Mailing Address - Phone:804-477-8687
Mailing Address - Fax:
Practice Address - Street 1:3400 HAYDENPARK LN STE 201
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23233-7867
Practice Address - Country:US
Practice Address - Phone:804-262-1060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-04
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401414036122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist