Provider Demographics
NPI:1396120903
Name:GERALD, CAITLYN NUGER (DDS)
Entity type:Individual
Prefix:DR
First Name:CAITLYN
Middle Name:NUGER
Last Name:GERALD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:CAITLYN
Other - Middle Name:ROSE
Other - Last Name:NUGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:9316 OLD KEENE MILL RD STE C
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-4285
Mailing Address - Country:US
Mailing Address - Phone:703-455-9683
Mailing Address - Fax:
Practice Address - Street 1:9316 OLD KEENE MILL RD STE C
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-4285
Practice Address - Country:US
Practice Address - Phone:703-455-9683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-24
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014149601223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry