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WOODSON SQUARE DENTAL CARE
NPI 1063754935
Dentist - General Practice in Fairfax, VA

Active since March 19, 2013
9671 MAIN ST, SUITE A, FAIRFAX, VA 22031(703) 323-0700 Get Directions Write a Review

NPPES record last updated: March 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Woodson Square Dental Care NPPES

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

WOODSON SQUARE DENTAL CARE (NPI 1063754935) is a healthcare organization registered as a general practice in Fairfax, Virginia and active in the NPI registry since March 2013. The organization lists Nastaran Ejtemai, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1063754935
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWOODSON SQUARE DENTAL CARE
Location Address9671 MAIN ST, SUITE AFairfax, VA 22031-3742
Mailing Address9671 Main St, Suite AFairfax, VA 22031-3742 · (703) 323-0700
Phone(703) 323-0700
Organization SubpartNo
Authorized OfficialNastaran EjtemaiDentist/owner · (703) 323-0700
Enumeration DateMarch 19, 2013
✔ NPI 1063754935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
9671 MAIN ST, Fairfax, VA 22031
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

BICHLAN THI NGUYEN D.D.S.
Dentist
9671 MAIN ST, SUITE D
FAIRFAX, VA 22031
Fairfax County (703) 503-5211

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 Woodson Square Dental Care's NPI number?

The NPI number for Woodson Square Dental Care is 1063754935. It was assigned to this organization in the NPPES registry on March 19, 2013.

Where is Woodson Square Dental Care located?

Woodson Square Dental Care is located at 9671 Main St Suite A, Fairfax, VA 22031. The listed phone number is (703) 323-0700.

What is Woodson Square Dental Care's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Woodson Square Dental Care was last updated on March 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.