DR. MOHAMMAD MOIEN MONZAVI DDS
NPI 1841919479
Dentist - General Practice in Fairfax, VA

Active since August 25, 2022
12011 LEE JACKSON MEMORIAL HWY STE 105, FAIRFAX, VA 22033(703) 596-0875 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mohammad Moien Monzavi Dds NPPES

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

DR. MOHAMMAD MOIEN MONZAVI DDS (NPI 1841919479) is an individual general practice provider in Fairfax, Virginia, licensed in Virginia (0401418028) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1841919479
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MOHAMMAD MOIEN MONZAVICredential: DDS
Location Address12011 LEE JACKSON MEMORIAL HWY STE 105Fairfax, VA 22033-3310
Mailing Address25340 Lake Mist Sq Unit 200Chantilly, VA 20152-5352 · (352) 283-0798
Sole ProprietorNo
Enumeration DateAugust 25, 2022
NPPES CertifiedAugust 25, 2022
NPI 1841919479 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 · 0401418028
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.

12011 LEE JACKSON MEMORIAL HWY STE 105, Fairfax, VA 22033

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841919479, enumerated as an "individual" on August 25, 2022.

The provider is located at 12011 LEE JACKSON MEMORIAL HWY STE 105 FAIRFAX, VA 22033 and the phone number is (703) 596-0875.

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

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Alabama,. Please consult your insurance carrier or call the provider to verify.