Neda Etessam is a Pediatric Dentistry in Mclean, Virginia. Neda Etessam practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Neda Etessam is 1811022981. The last update date is 2007-07-08.
Neda Etessam's current location address is 1401 Chain Bridge Rd Ste 301, Mclean, Virginia. You can contact this provider via phone number 7038211633 and fax number 7038277750. The mailing address for Neda Etessam is 1401 Chain Bridge Rd Ste 301, Mclean, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Neda Etessam |
|---|---|
| Address | 1401 Chain Bridge Rd Ste 301, Mclean, Virginia |
| Phone Number | 7038211633 |
| Fax Number | 7038277750 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1811022981 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1401 Chain Bridge Rd Ste 301 |
|---|---|
| City | Mclean |
| State | Virginia (VA) |
| Post Code | 221013882 |
| Phone Number | 7038211633 |
| Fax Number | 7038277750 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 401410040 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique identification code assigned to Neda Etessam by the Centers for Medicare & Medicaid Services?
The Neda Etessam has been issued the NPI (National Provider Identifier) 1811022981. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Neda Etessam?
The Neda Etessam is physically situated at 1401 Chain Bridge Rd Ste 301, in the city of Mclean, state of VA, with the postal code 221013882.
What is Neda Etessam's specialized field of practice, and what is the corresponding taxonomy classification code?
The Neda Etessam's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1811022981 to Neda Etessam?
The Neda Etessam received its 1811022981 assignment from the Centers for Medicare & Medicaid Services on 2007-02-22.
When was the information related to Neda Etessam most recently updated or refreshed?
The details pertaining to the Neda Etessam, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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