Provider Demographics
NPI:1548991532
Name:ARAM AFSAHI, DDS, P.C.
Entity type:Organization
Organization Name:ARAM AFSAHI, DDS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARAM
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:AFSAHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-258-7652
Mailing Address - Street 1:2920 FOX MILL MANOR DR
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-1246
Mailing Address - Country:US
Mailing Address - Phone:202-258-7652
Mailing Address - Fax:540-785-5300
Practice Address - Street 1:4300 PLANK RD STE 230
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-0107
Practice Address - Country:US
Practice Address - Phone:540-785-5300
Practice Address - Fax:540-785-5302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9181856Medicaid