ROXANNE AZMOUDEH D.D.S. P. C. NPI 1366937096

NPI Information

NPI: 1366937096
Provider Name: ROXANNE AZMOUDEH, D.D.S. P. C.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
44355 PREMIER PLZ STE 100
ASHBURN, VA
ZIP 20147
Phone: (703) 858-9146
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ROXANNE AZMOUDEH, D.D.S. P. C. is a dental clinic center in Ashburn, VA. ROXANNE AZMOUDEH, D.D.S. P. C. NPI is 1366937096. The provider is registered as an organization entity type.

The provider's business location address is:

44355 PREMIER PLZ STE 100
ASHBURN, VA
ZIP 20147-050
Phone: (703) 858-9146
Fax: (703) 858-9147

The provider's authorized official is Roxanne Azmoudeh .
The authorized official title is President and has the following contact phone number (703) 858-9146.

The enumeration date for this NPI number is 6/26/2018 and was last updated on 6/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	0401410979	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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