Michael Eghtessad

General Practice Dentistry · Ashburn, VA

Individual Active NPI

NPI number 1710044623

Practice location

44330 Premier PLZ Ste 140
Ashburn, VA 20147-5071
Phone
(703) 726-0333
Fax
(703) 726-0553

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NPI record

NPI
1710044623
Entity type
Individual (Type 1)
Enumeration date
January 2, 2007
Last updated
November 11, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 0401410302 VA

About Michael Eghtessad

Michael Eghtessad is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 44330 Premier PLZ Ste 140, Ashburn, VA 20147-5071. The NPI number 1710044623 was assigned on January 2, 2007 and the record was last updated on November 11, 2014.

Michael Eghtessad lists a license in the registry: #0401410302 (VA) 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 Michael Eghtessad?

The NPI number is 1710044623.

What is the phone number of Michael Eghtessad?

The phone number listed for the practice location is (703) 726-0333.

Where is Michael Eghtessad located?

44330 Premier PLZ Ste 140, Ashburn, VA 20147-5071.

What is the taxonomy code for Michael Eghtessad?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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