Provider Demographics
NPI:1003499245
Name:AKTER, TAJMINA T (DDS)
Entity Type:Individual
Prefix:
First Name:TAJMINA
Middle Name:T
Last Name:AKTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 HERNDON PKWY STE 140
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-5526
Mailing Address - Country:US
Mailing Address - Phone:703-393-9393
Mailing Address - Fax:
Practice Address - Street 1:10529 CRESTWOOD DR STE 103
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-4419
Practice Address - Country:US
Practice Address - Phone:703-393-9393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-05
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN2000128122300000X
VA0401417774122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist