Bristow Fountain Dentistry, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BRISTOW FOUNTAIN DENTISTRY, PC

Doing business as

Bristow Fountain Dentistry

Practice address

10283 Bristow Center Dr
Bristow, VA 20136-2240

Phone

(703) 565-2920

NPI assigned

May 30, 2019

Last updated

May 30, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alex R Sharifian, DDS

Title

Owner/General Dentist

Phone

(703) 565-2920

Specialties & licenses 1

Addresses

Other names 1

• Bristow Fountain Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hussain Ali Al-Humood

  • Dentist
  • Alexandria, VA
  • NPI 1730910159
  NPD (past)
• Chaz Taylor Collins, DMD

  • Dentist
  • Bristow, VA
  • NPI 1801466602
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1447818919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10283 BRISTOW CENTER DR",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362240",
            "telephone_number": "703-565-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOW FOUNTAIN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "SHARIFIAN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "703-565-2920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristow Fountain Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bright Horizons Services Home Health Company LLC
• Samuel Agyei Bright
• Brighter Way Transport LLC
• Brightstone, LLC (Seek Wellbeing Housecalls Program)
• Bristow Endodontic Associates PLLC
• Bristow Pediatrics
• Bristow Physical Therapy & Chiropractic, LLC
• Bristow Urgent Care Center LLC
• Naomi Britton, LPC
• Taylor Brooks, OTR/L

• Dentist in Bristow, VA
• Providers in Bristow, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.