Individual provider · Type 1 NPI
Shabnam Ravadgar, DMD
General Practice Dentistry · Herndon, VA
NPI number
1295114841
Active
Practice location
494 Elden St Ste 220
Herndon, VA 20170-4543
Fax (703) 662-9904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 0401416835 (VA) |
| Dentist | 122300000X | DN21136 (FL) |
General Practice Dentistry: 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.
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About NPI 1295114841
Shabnam Ravadgar, DMD's National Provider Identifier is 1295114841, issued on May 28, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Herndon, VA. The record was last updated on Apr 12, 2022.