Individual provider · Type 1 NPI

Samon Nazemian

Pediatric Dentistry · Fairfax, VA

NPI number 1720640790 Active

Practice location

3700 Joseph Siewick Dr
Fairfax, VA 22033-1744

Mailing address

2822 Misty Pond Ct
Oakton, VA 22124-1159

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X0401416634 (VA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1720640790

Samon Nazemian's National Provider Identifier is 1720640790, issued on Jul 1, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fairfax, VA. The record was last updated on Aug 24, 2021.