Provider Demographics
NPI:1477591881
Name:BANAJI, GIRISH (DDS)
Entity Type:Individual
Prefix:DR
First Name:GIRISH
Middle Name:
Last Name:BANAJI
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 1:2843 HARTLAND RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-3539
Mailing Address - Country:US
Mailing Address - Phone:703-849-1300
Mailing Address - Fax:
Practice Address - Street 1:2843 HARTLAND RD STE 200
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043-3539
Practice Address - Country:US
Practice Address - Phone:703-849-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014103111223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry