Organization Active NPI

Davary & Smith Oral & Maxillofacial Surgery & Dental Implant Center, PLLC

Doing business as Davary & Smith Oral & Maxillofacial Surgery & Dental Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Sterling, VA
National Provider Identifier
1891509725
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DAVARY & SMITH ORAL & MAXILLOFACIAL SURGERY & DENTAL IMPLANT CENTER, PLLC
Doing business as
Davary & Smith Oral & Maxillofacial Surgery & Dental Implant Center
Practice address
21351 Gentry Dr Ste 115
Sterling, VA 20166-8510
Phone
(703) 740-8848
NPI assigned
Feb 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Dr. Ashkan Davary Dowlatabady, MD, DDSNPI 1801275995
Title
Dentist
Phone
(703) 740-8848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

21351 Gentry Dr Ste 115
Sterling, VA 20166-8510

Mailing address

21351 Gentry Dr Ste 115
Sterling, VA 20166-8510
Phone (703) 740-8848

Other names 1

  • Davary & Smith Oral & Maxillofacial Surgery & Dental Implant Center Doing business as

National Provider Directory

National Provider Directory

Locations

21351 Gentry Dr
Ste 115
Sterling, VA 20166
Phone (703) 740-8848

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1891509725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21351 GENTRY DR STE 115",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201668510",
            "telephone_number": "703-740-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21351 GENTRY DR STE 115",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201668510",
            "telephone_number": "703-740-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVARY & SMITH ORAL & MAXILLOFACIAL SURGERY & DENTAL IMPLANT CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "DAVARY DOWLATABADY",
        "authorized_official_first_name": "ASHKAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-740-8848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davary & Smith Oral & Maxillofacial Surgery & Dental Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.