Syed Shoaib Razi

Individual provider Active NPI General Practice Dentistry · Cave Spring, VA

NPI 1669201307 · NPPES record last updated Aug 21, 2025

Key facts

NPI
1669201307
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
0401419622 (VA)
Practice address
4907 Brambleton Ave
Cave Spring, VA 24018-4149
Phone
(540) 774-3143
NPI assigned
Jul 31, 2024
Reactivated
Aug 14, 2025
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0401419622VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James W Willis VII DDS PLC Past
since Nov 6, 2022
Accepting new patients
James W Willis XI DDS PLC Past
since Nov 6, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401419622 VA Yes

Addresses

Primary practice location

4907 Brambleton Ave
Cave Spring, VA 24018-4149

Mailing address

4907 Brambleton Ave
Cave Spring, VA 24018-4149
Phone (917) 251-3967

Other practice location 1

1934 Thomson Dr Fl 2
Lynchburg, VA 24501-1028
Phone (540) 315-3725

Other practice location 2

2660 Electric Rd Ste A
Roanoke, VA 24018-3530
Phone (540) 774-8288

Other practice location 3

2913 Orange Ave NE
Roanoke, VA 24012-6338
Phone (540) 342-8781

Other providers in Cave Spring, VA

All providers in Cave Spring, VA · General Practice Dentistry in Virginia

Sources for this page

Verify at the official NPI Registry.