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PEDIATRIC AND ADOLESCENT DENTISTRY PC
NPI 1558639906
Dentist - Pediatric Dentistry in Alexandria, VA

Active since December 13, 2011
4605D PINECREST OFFICE PARK DR, ALEXANDRIA, VA 22312(703) 352-4121 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric And Adolescent Dentistry Pc NPPES

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

PEDIATRIC AND ADOLESCENT DENTISTRY PC (NPI 1558639906) is a healthcare organization registered as a pediatric dentistry in Alexandria, Virginia and active in the NPI registry since December 2011. The organization lists Faranak Ghalehbaghi, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1558639906
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC AND ADOLESCENT DENTISTRY PC
Location Address4605D PINECREST OFFICE PARK DRAlexandria, VA 22312-1442
Mailing Address4605d Pinecrest Office Park DrAlexandria, VA 22312-1442 · (703) 352-4121
Phone(703) 352-4121
Organization SubpartNo
Authorized OfficialFaranak GhalehbaghiPediatric Dentist · (703) 352-4121
Enumeration DateDecember 13, 2011
✔ NPI 1558639906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in VA · 0401008254
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4605D PINECREST OFFICE PARK DR, Alexandria, VA 22312
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Other Identifiers 2

Medicaid1548359649VA
Medicaid1821308115VA

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

Other Providers at the Same Location NPPES

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

A HEALTHY SMILE LLC
Dentist
4605D PINECREST OFFICE PARK DR
ALEXANDRIA, VA 22312
Fairfax County (703) 798-0766

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 Pediatric And Adolescent Dentistry PC's NPI number?

The NPI number for Pediatric And Adolescent Dentistry PC is 1558639906. It was assigned to this organization in the NPPES registry on December 13, 2011.

Where is Pediatric And Adolescent Dentistry PC located?

Pediatric And Adolescent Dentistry PC is located at 4605D Pinecrest Office Park Dr, Alexandria, VA 22312. The listed phone number is (703) 352-4121.

What is Pediatric And Adolescent Dentistry PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric And Adolescent Dentistry PC was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.