SOUTH RIDING ORAL AND IMPLANT SURGERY
NPI 1285296814
Dentist - Oral and Maxillofacial Surgery in Chantilly, VA

Q: What is South Riding Oral And Implant Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since July 03, 2019

24805 PINEBROOK RD # 318, CHANTILLY, VA 20152(571) 218-0878 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About South Riding Oral And Implant Surgery NPPES

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

SOUTH RIDING ORAL AND IMPLANT SURGERY (NPI 1285296814) is a healthcare organization registered as an oral and maxillofacial surgery in Chantilly, Virginia and active in the NPI registry since July 2019. The organization lists Kamran Raja, Owner, as its authorized official.

NPPES Registry Identity

NPI1285296814

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameSOUTH RIDING ORAL AND IMPLANT SURGERY

Location Address24805 PINEBROOK RD # 318Chantilly, VA 20152-4126

Mailing Address9209 Marovelli Forest DrLorton, VA 22079-3456 · (571) 218-0878

Phone(571) 218-0878

Organization SubpartNo

Authorized OfficialKamran RajaOwner · (571) 218-0878

Enumeration DateJuly 3, 2019

✔ NPI 1285296814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

24805 PINEBROOK RD # 318, Chantilly, VA 20152

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Other Names 1

Doing Business AsSouth Riding Oral And Implant Surgery

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

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 South Riding Oral And Implant Surgery's NPI number?

The NPI number for South Riding Oral And Implant Surgery is 1285296814. It was assigned to this organization in the NPPES registry on July 3, 2019.

Where is South Riding Oral And Implant Surgery located?

South Riding Oral And Implant Surgery is located at 24805 Pinebrook Rd # 318, Chantilly, VA 20152. The listed phone number is (571) 218-0878.

What is South Riding Oral And Implant Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for South Riding Oral And Implant Surgery was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.