SASAN AHMADIYAR, DDS & ASSOCIATES - NPI 1023162260

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

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About Sasan Ahmadiyar, Dds & Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SASAN AHMADIYAR, DDS & ASSOCIATES (NPI 1023162260) is a healthcare organization registered as a periodontics in Fredericksburg, Virginia and active in the NPI registry since January 2007. The organization lists Kristi Bejarano, Regional Manager, as its authorized official.

NPPES Registry Identity

NPI1023162260

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameSASAN AHMADIYAR, DDS & ASSOCIATES

Location Address10608 LEAVELLS RDFredericksburg, VA 22407-1256

Mailing Address10608 Leavells RdFredericksburg, VA 22407-1256 · (540) 710-6000 · Fax (540) 710-7403

Phone(540) 710-6000

Fax(540) 710-7403

Organization SubpartNo

Authorized OfficialKristi BejaranoRegional Manager · (540) 710-6000

Enumeration DateJanuary 23, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1023162260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in VA · 0401008083

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

10608 LEAVELLS RD, Fredericksburg, VA 22407

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP