Sea Dental Group PLLC

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

Legal business name

SEA DENTAL GROUP PLLC

Practice address

11934 W Broad St Ste 120
Henrico, VA 23233-1100

Phone

(818) 800-2221

NPI assigned

Aug 29, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Salar Ebrahimi, DDSNPI 1669936381

Title

President

Phone

(818) 800-2221

Specialties & licenses 1

Addresses

Other names 1

• America Anesthesia Partners PLLC Doing business as

Locations

Practitioners 1

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

• Salar Ebrahimi, DDS

  • Dental Anesthesiology
  • Leesburg, VA
  • NPI 1669936381
  NPD Authorized official

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1578283982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17113 BOLD VENTURE DR",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201767169",
            "telephone_number": "818-800-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11934 W BROAD ST STE 120",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331100",
            "telephone_number": "818-800-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "EBRAHIMI",
        "authorized_official_first_name": "SALAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-800-2221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "America Anesthesia Partners PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roxanne Schultz, PHARMD
• Tanika Scott-Jacksom
• Alesha D Scott, M.A., CF-SLP
• Justin Stuart Scott, DMD
• Macye R Scott, PT, DPT
• Kristal T Seaborn
• Nigeria Seabury
• Phyllis Ann Seals
• Secure Service LLC
• Kassandra Sejas-Padilla

• Dental Anesthesiology in Henrico, VA
• Providers in Henrico, VA by specialty
• Dental Anesthesiology in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.