KAMBIZ AND KAMRAN TAVAKKOLI DMD, PC
NPI 1497871057
Dentist - General Practice in Woodbridge, VA

Active since March 22, 2007
12500 LAKE RIDGE DR, WOODBRIDGE, VA 22192(703) 494-3176(703) 494-8207 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About KAMBIZ AND KAMRAN TAVAKKOLI DMD, PC

This page provides the complete NPI Profile along with additional information for Kambiz And Kamran Tavakkoli Dmd, Pc, a provider established in Woodbridge, Virginia operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1497871057 assigned on March 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 0401410837 (VA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Kambiz Tavakkoli Dmd (Doctor)

NPI
1497871057 Verify this NPI
Provider Name
KAMBIZ AND KAMRAN TAVAKKOLI DMD, PC
Entity Type
Organization
Location Address
12500 LAKE RIDGE DR WOODBRIDGE, VA 22192
Location Phone
(703) 494-3176
Location Fax
(703) 494-8207
Mailing Address
12500 LAKE RIDGE DR WOODBRIDGE, VA 22192
Mailing Phone
(703) 494-3176
Mailing Fax
(703) 494-8207
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-22-2007
Last Update Date
08-22-2020
Code Navigator

A dentist like Kambiz And Kamran Tavakkoli Dmd, Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
0401410837
License State
VA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223G0001XDental Providers

Dentist
General Practice

0401410838 (VA)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KAMBIZ TAVAKKOLI DMD

Authorized Official Title
DOCTOR
Authorized Official Phone
(703) 494-3176

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497871057, enumerated as an "organization" on March 22, 2007.

The provider is located at 12500 LAKE RIDGE DR WOODBRIDGE, VA 22192 and the phone number is (703) 494-3176.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.