| Sasan Ahmadiyar Dds & Associates | |
|
385 Garrisonville Rd Suite 108 Stafford VA 22554-1545 | |
| (540) 657-7645 | |
| (540) 657-1009 |
| Full Name | Sasan Ahmadiyar Dds & Associates |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 385 Garrisonville Rd, Stafford, Virginia |
| Authorized Official Name and Position | Ahmir Saeid Ahmadiyar (OFFICE MANAGER) |
| Authorized Official Contact | 5406577645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sasan Ahmadiyar Dds & Associates 385 Garrisonville Rd Suite 108 Stafford VA 22554-1545 Ph: (540) 657-7645 | Sasan Ahmadiyar Dds & Associates 385 Garrisonville Rd Suite 108 Stafford VA 22554-1545 Ph: (540) 657-7645 |
| NPI Number | 1194862169 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194862169 | NPI | - | NPPES |
| 173202 | Other | VA | ANTHEM BCBS OF VIRGINIA |
| 1685355 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Virginia) | Primary |
| 1223P0300X | Dentist - Periodontics | 0401008083 (Virginia) | Primary |
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