DR. REZA FARDSHISHEH


Address: 6120 Brandon Ave Ste 314, Springfield, VA 22150-2504
Phone: 7035690002

DR. REZA FARDSHISHEH (NPI# 1023213758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023213758
Entity Type Individual
Full Name DR. REZA FARDSHISHEH
Credential DMD
Practice Address 6120 Brandon Ave Ste 314
Springfield
VA 22150-2504
Mailing Address 11359 Sunset Hills Rd
Reston
VA 20190-5275
Practice Telephone 7035690002
Practice Fax Number 7035698758
Mailing Telephone 7034376666
Mailing Fax Number 7034358281
Enumeration Date 2007-06-21
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
0401411770 VA Dental Providers

Office Location

Street Address 6120 BRANDON AVE STE 314
City SPRINGFIELD
State VA
Zip Code 22150-2504

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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134782592 Endodontics of Springfield Dentist 997 Clock Tower Dr Ste C, Springfield, IL 62704-1399 2019-04-20
1831671353 Sachin Rastogi Dmd Pllc Dentist 6116 Rolling Rd Ste 304, Springfield, VA 22152-1512 2018-08-31
1992955405 Greater Springfield Endodontics Partnership Dentist 2808 S Ingram Mill Rd, Building C108, Springfield, MO 65804-4079 2008-09-22
1396888426 Carol A Mccall Dentist 1358 E Kingsley St, Suite E, Springfield, MO 65804-7216 2007-02-15
1801936570 Western Mass Endodontics PC Dentist 15 Liberty Street, Western Mass Endodontics, Springfield, MA 01103 2007-02-08
1386795193 Gerald Lane Stephenson Dentist 3331 E Montclair St, Suite A, Springfield, MO 65804-4785 2007-01-16
1871665232 David James Hurt Dentist 1201 S Veterans Pkwy Ste E, Springfield, IL 62704-6342 2006-11-14
1215008008 Stewart A. Hinkley Dentist 1990 Kingsgate Rd # B, Springfield, OH 45502-8224 2006-11-13
1063591089 Mark Allen Massey Dentist 4350 S National Ave Ste B122, Springfield, MO 65810-2658 2006-11-02
1982796041 Lisa Dawn Castleman Dentist 1338 E Kingsley St, Suite A, Springfield, MO 65804-7216 2006-09-28
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Competitor

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City SPRINGFIELD
Zip Code 22150

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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