Individual provider · Type 1 NPI
Wissam Fawzi Ali, DMD
Dental Anesthesiology · Burke, VA
Practice location
9006 Crownwood Ct. Unit A
Burke, VA 22015
Fax (703) 451-1863
Mailing address
7409 Floyd Ave
Springfield, VA 22150-3812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Anesthesiology Primary | 1223D0004X | 0401410503 (VA) |
| Dentist | 122300000X | 0401410503 (VA) |
Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Other dental anesthesiology providers in Burke
About NPI 1396845558
Wissam Fawzi Ali, DMD's National Provider Identifier is 1396845558, issued on Sep 25, 2006. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Burke, VA. The record was last updated on Oct 22, 2025.