DR. REZA FARDSHISHEH DMD
NPI 1023213758
Dentist - Endodontics in Springfield, VA

Q: What is Reza Fardshisheh's NPI number?

The NPI number for Reza Fardshisheh is 1023213758. It was assigned to this individual provider in the NPPES registry on June 21, 2007.

Q: What is Reza Fardshisheh's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: When was this NPI record last updated?

The NPPES record for Reza Fardshisheh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 21, 2007

6120 BRANDON AVE STE 314, SPRINGFIELD, VA 22150(703) 569-0002(703) 569-8758 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Reza Fardshisheh Dmd NPPES

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

DR. REZA FARDSHISHEH DMD (NPI 1023213758) is an individual endodontics provider in Springfield, Virginia, licensed in Virginia (0401411770) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1023213758

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. REZA FARDSHISHEHCredential: DMD

Location Address6120 BRANDON AVE STE 314Springfield, VA 22150-2504

Mailing Address11359 Sunset Hills RdReston, VA 20190-5275 · (703) 437-6666 · Fax (703) 435-8281

Phone(703) 569-0002

Fax(703) 569-8758

Sole ProprietorNo

Enumeration DateJune 21, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1023213758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in VA · 0401411770

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

6120 BRANDON AVE STE 314, Springfield, VA 22150

Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BDG SPECIALTY LLC

Dentist (Endodontics)

6120 BRANDON AVE STE 314
SPRINGFIELD, VA 22150

Fairfax County (703) 569-0000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reza Fardshisheh's NPI number?

The NPI number for Reza Fardshisheh is 1023213758. It was assigned to this individual provider in the NPPES registry on June 21, 2007.

Where is Reza Fardshisheh located?

Reza Fardshisheh practices at 6120 Brandon Ave Ste 314, Springfield, VA 22150. The listed phone number is (703) 569-0002.

What is Reza Fardshisheh's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Reza Fardshisheh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.