Dr. Reza Fardshisheh
Endodontist
6120 Brandon Ave Ste 314
Springfield
, Virginia 22150-2504
Dr. Reza Fardshisheh
Endodontist
6120 Brandon Ave Ste 314
Springfield
, Virginia 22150-2504
(703) 435-8281
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Reza Fardshisheh
- 11359 Sunset Hills Rd
- Reston, VA
- Zip : 20190-5275
- Fax : (703) 435-8281
- Phone : (703) 437-6666
Second Address
- Dr. Reza Fardshisheh
- 6120 Brandon Ave Ste 314
- Springfield, VA
- Zip : 22150-2504
- Fax : (703) 569-8758
- Phone : (703) 569-0002
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 0401411770 | VA |
National Provider Identifier
| NPI | 1023213758 |
|---|---|
| Provider Name | Dr. Reza Fardshisheh |
| First Address | Reston, VA 20190-5275 |
| Second Address | Springfield, VA 22150-2504 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.