Amy Hinz Adair, DMD – Pediatric Dentistry

Key facts

NPI: 1154515609
Entity type: Individual (NPI type 1)
Primary specialty: Pediatric Dentistry 1223P0221X
License: 0401414226 (VA)
Practice address: 9295 Old Keene Mill Rd
Burke, VA 22015-4202
Phone: (703) 440-9701
NPI assigned: Aug 28, 2007
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Alireza Sharafi DDS, PLLC Dental Clinic/Center · Alexandria, VA · NPI 1417274747

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
12011268A	IN	MD	Pediatric Dentist
0401414226	VA	MD	Pediatric Dentist

Practice roles

Organization	Specialty	Status	New patients
Alireza Sharafi DDS, PLLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatric Dentistry	1223P0221X	0401414226	VA	Yes
Pediatric Dentistry	1223P0221X	12011268A	IN
General Practice Dentistry	1223G0001X	12011268A	IN

Addresses

Primary practice location

9295 Old Keene Mill Rd
Burke, VA 22015-4202

Mailing address

6354 Walker LN Ste 103
Alexandria, VA 22310-3242
Phone (703) 417-9722

Other providers in Burke, VA

All providers in Burke, VA · Pediatric Dentistry in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.