Said & Sultanzada DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410702 Issued in VA

Legal business name

SAID & SULTANZADA DDS PC

Practice address

2070 Old Bridge Rd
#201
Woodbridge, VA 22192

Phone

(703) 499-9902

Fax

(703) 499-9903

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Yama S SultanzadaNPI 1174683411

Title

DDS President

Phone

(703) 966-2153

Specialties & licenses 2

Addresses

Other names 1

• Virginia Dental Care Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yama S Sultanzada, DDS

  • General Practice Dentistry
  • Woodbridge, VA
  • NPI 1174683411
  NPD (past) Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457419905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 OLD BRIDGE RD",
            "address_2": "#201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192",
            "telephone_number": "703-499-9902",
            "fax_number": "703-499-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 OLD BRIDGE RD",
            "address_2": "#201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192",
            "telephone_number": "703-499-9902",
            "fax_number": "703-499-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAID & SULTANZADA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULTANZADA",
        "authorized_official_first_name": "YAMA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DDS PRESIDENT",
        "authorized_official_telephone_number": "703-966-2153"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410702",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.