Provider Demographics
NPI:1699573790
Name:NOJAN JAFARI DDS PLLC
Entity type:Organization
Organization Name:NOJAN JAFARI DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NOJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAFARI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-867-0493
Mailing Address - Street 1:11514 SENECA WOODS CT
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-1375
Mailing Address - Country:US
Mailing Address - Phone:703-867-0493
Mailing Address - Fax:
Practice Address - Street 1:110 PLEASANT ST NW STE A
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4447
Practice Address - Country:US
Practice Address - Phone:703-991-4178
Practice Address - Fax:703-938-3168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty