PEDIATRIC AND ADOLESCENT DENTISTRY PC NPI 1558639906

NPI Information

PEDIATRIC AND ADOLESCENT DENTISTRY PC is a pediatric dentistry dentist in Alexandria, VA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PEDIATRIC AND ADOLESCENT DENTISTRY PC NPI is 1558639906. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4605D PINECREST OFFICE PARK DR
ALEXANDRIA, VA
ZIP 22312-442
Phone: (703) 352-4121

The provider's authorized official is Faranak Ghalehbaghi .
The authorized official title is Pediatric Dentist and has the following contact phone number (703) 352-4121.

The enumeration date for this NPI number is 12/13/2011 and was last updated on 12/13/2011.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.