Provider Demographics
NPI:1427801166
Name:DASHNYAM, MYAGMARJAV (DDS)
Entity type:Individual
Prefix:DR
First Name:MYAGMARJAV
Middle Name:
Last Name:DASHNYAM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:742 SADDLEBROOK RD
Mailing Address - Street 2:
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-3299
Mailing Address - Country:US
Mailing Address - Phone:703-505-9067
Mailing Address - Fax:
Practice Address - Street 1:4458 ELECTRIC RD STE C
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-0704
Practice Address - Country:US
Practice Address - Phone:540-283-5365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-11
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401418998122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist