Provider Demographics
NPI:1447532197
Name:TERNISKY, CRIS (DDS)
Entity type:Individual
Prefix:DR
First Name:CRIS
Middle Name:
Last Name:TERNISKY
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 1:6711 WHITTIER AVE
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-4538
Mailing Address - Country:US
Mailing Address - Phone:703-356-1875
Mailing Address - Fax:703-749-5344
Practice Address - Street 1:6711 WHITTIER AVE
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-4538
Practice Address - Country:US
Practice Address - Phone:703-356-1875
Practice Address - Fax:703-749-5344
Is Sole Proprietor?:No
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010076181223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry