Active NPI
Cameron Taylor Dahlquist, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Annandale, VA
National Provider Identifier
1750959417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 0401419858
- Practice address
- 7611 Little River Tpke Ste 101E
Annandale, VA 22003-2630 - Phone
- (703) 650-0638
- NPI assigned
- Jun 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0401419858 | VA | Primary |
Addresses
Primary practice location
7611 Little River Tpke Ste 101E
Annandale, VA 22003-2630
Mailing address
7611 Little River Tpke Ste 101E
Annandale, VA 22003-2630
Phone (703) 650-0638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210820003166 | PA | Order and Referring Only - Oral Surgery | 1951706449 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1750959417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7611 LITTLE RIVER TPKE STE 101E",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220032630",
"telephone_number": "703-650-0638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7611 LITTLE RIVER TPKE STE 101E",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220032630",
"telephone_number": "703-650-0638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHLQUIST",
"first_name": "CAMERON",
"middle_name": "TAYLOR",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-17",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "0401419858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.