Kianoush M Tari in Purcellville - Orthodontics And Dentofacial Orthopedics
Kianoush M Tari - NPI 1255482444
Kianoush M Tari is a Orthodontics And Dentofacial Orthopedics in Purcellville, Virginia. Kianoush M Tari practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Kianoush M Tari is 1255482444. The last update date is 2007-07-08.
Kianoush M Tari's current location address is 17333 Pickwick Dr Ste A, Purcellville, Virginia. You can contact this provider via phone number 5403380004 and fax number 5403380757. The mailing address for Kianoush M Tari is 17333 Pickwick Dr Ste A, Purcellville, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kianoush M Tari |
|---|---|
| Address | 17333 Pickwick Dr Ste A, Purcellville, Virginia |
| Phone Number | 5403380004 |
| Fax Number | 5403380757 |
| Sole Proprietor | Y |
| Credentials | DMD, MS, P |
NPI Number Detail
| NPI Number | 1255482444 |
|---|---|
| Provider Enumeration Date | 2007-01-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17333 Pickwick Dr Ste A |
|---|---|
| City | Purcellville |
| State | Virginia (VA) |
| Post Code | 201326161 |
| Phone Number | 5403380004 |
| Fax Number | 5403380757 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 401008872 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the Kianoush M Tari's 1255482444?
The Kianoush M Tari's NPI (National Provider Identifier) Number is 1255482444. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kianoush M Tari?
The Kianoush M Tari is physically situated at 17333 Pickwick Dr Ste A, in the city of Purcellville, state of VA, with the postal code 201326161.
What is Kianoush M Tari's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kianoush M Tari is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.
On what date did Kianoush M Tari receive its 1255482444 assignment from the Centers for Medicare & Medicaid Services?
The Kianoush M Tari was assigned its 1255482444 on 2007-01-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kianoush M Tari's details last updated?
The information pertaining to the Kianoush M Tari, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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