Provider Demographics
NPI:1386538130
Name:ATIYEH EMAM DDS PLLC
Entity type:Organization
Organization Name:ATIYEH EMAM DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ATIYEH
Authorized Official - Middle Name:
Authorized Official - Last Name:EMAM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-858-9200
Mailing Address - Street 1:44135 WOODRIDGE PKWY STE 280
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:VA
Mailing Address - Zip Code:20176-1244
Mailing Address - Country:US
Mailing Address - Phone:703-858-9200
Mailing Address - Fax:703-858-9542
Practice Address - Street 1:44135 WOODRIDGE PKWY STE 280
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-1244
Practice Address - Country:US
Practice Address - Phone:703-858-9200
Practice Address - Fax:703-858-9542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment