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SASAN AHMADIYAR DDSPLLC NPI 1396259586


NPI Information

NPI: 1396259586
Provider Name: SASAN AHMADIYAR, DDS,PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1911 BALLENGER AVE
ALEXANDRIA, VA
ZIP 22314
Phone: (703) 299-1200
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SASAN AHMADIYAR, DDS,PLLC is a general practice dentist in Alexandria, VA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SASAN AHMADIYAR, DDS,PLLC NPI is 1396259586. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1911 BALLENGER AVE
ALEXANDRIA, VA
ZIP 22314-819
Phone: (703) 299-1200

The provider's authorized official is Sasan Ahmadiyar .
The authorized official title is Dentist and has the following contact phone number (703) 299-1200.

The enumeration date for this NPI number is 11/27/2017 and was last updated on 11/27/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice0401008767VIRGINIAYes
21223G0001XDentistGeneral PracticeNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11699801787MEDICAIDVIRGINIA

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: 4/28/2024

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