Roxanne Azmoudeh

General Practice Dentistry · Ashburn, VA

Individual Active NPI

NPI number 1073715314

Practice location

44355 Premier PLZ Ste 100
Ashburn, VA 20147-5050
Phone
(703) 858-9146
Fax
(703) 858-9147

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NPI record

NPI
1073715314
Entity type
Individual (Type 1)
Enumeration date
May 31, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 0401410979 VA
General Practice Dentistry 1223G0001X 13395 MD

About Roxanne Azmoudeh

Roxanne Azmoudeh is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 44355 Premier PLZ Ste 100, Ashburn, VA 20147-5050. The NPI number 1073715314 was assigned on May 31, 2007 and the record was last updated on July 8, 2007.

Roxanne Azmoudeh lists 2 licenses in the registry: #0401410979 (VA) for General Practice Dentistry; #13395 (MD) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Roxanne Azmoudeh?

The NPI number is 1073715314.

What is the phone number of Roxanne Azmoudeh?

The phone number listed for the practice location is (703) 858-9146.

Where is Roxanne Azmoudeh located?

44355 Premier PLZ Ste 100, Ashburn, VA 20147-5050.

What is the taxonomy code for Roxanne Azmoudeh?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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