Ali R Aghaee, DDS

Individual provider Active NPI General Practice Dentistry · Sterling, VA

NPI 1669566014 · NPPES record last updated Nov 25, 2008

Key facts

NPI
1669566014
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
0401008108 (VA)
Practice address
46175 Westlake Dr Ste 220
Sterling, VA 20165-5884
Phone
(703) 404-9111
Fax
(703) 404-4181
NPI assigned
Oct 2, 2006
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
0401008108VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aghaee & Nouri, DDS, PC General Practice Past Accepting new patients
Praveena Petluri DMD PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401008108 VA Yes

Addresses

Primary practice location

46175 Westlake Dr Ste 220
Sterling, VA 20165-5884

Mailing address

10200 Lakestone PL.
Rockville, MD 20850
Phone (301) 424-8222

Other providers in Sterling, VA

All providers in Sterling, VA · General Practice Dentistry in Virginia

Sources for this page

Verify at the official NPI Registry.