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BREEZE DENTAL
NPI 1639603459
Dentist - General Practice in Fairfax, VA

Active since April 18, 2017
3545 CHAIN BRIDGE RD STE 5, FAIRFAX, VA 22030(703) 273-5545(703) 591-8702 Get Directions Write a Review

NPPES record last updated: April 18, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Breeze Dental NPPES

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

BREEZE DENTAL (NPI 1639603459) is a healthcare organization registered as a general practice in Fairfax, Virginia and active in the NPI registry since April 2017. The organization lists Kouros Hedayati, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1639603459
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKOUROS HEDAYATI, DDS, PLC
Location Address3545 CHAIN BRIDGE RD STE 5Fairfax, VA 22030-2708
Mailing Address3545 Chain Bridge Rd Ste 5Fairfax, VA 22030-2708 · (703) 273-5545 · Fax (703) 591-8702
Phone(703) 273-5545
Fax(703) 591-8702
Organization SubpartNo
Authorized OfficialKouros HedayatiOwner/dentist · (571) 225-1038
Enumeration DateApril 18, 2017
✔ NPI 1639603459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401412201
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.
3545 CHAIN BRIDGE RD STE 5, Fairfax, VA 22030
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Other Names 1

Doing Business AsBreeze Dental

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

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 Kouros Hedayati, Dds, Plc's NPI number?

The NPI number for Kouros Hedayati, Dds, Plc is 1639603459. It was assigned to this organization in the NPPES registry on April 18, 2017. The provider is doing business as Breeze Dental.

Where is Kouros Hedayati, Dds, Plc located?

Kouros Hedayati, Dds, Plc is located at 3545 Chain Bridge Rd Ste 5, Fairfax, VA 22030. The listed phone number is (703) 273-5545.

What is Kouros Hedayati, Dds, Plc'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 Kouros Hedayati, Dds, Plc was last updated on April 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.