Provider Demographics
NPI:1497844286
Name:DAMIRCHI, NASSER (DDS)
Entity Type:Individual
Prefix:DR
First Name:NASSER
Middle Name:
Last Name:DAMIRCHI
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 1:8600 QUIOCCASIN RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5514
Mailing Address - Country:US
Mailing Address - Phone:804-741-5700
Mailing Address - Fax:804-741-3331
Practice Address - Street 1:8600 QUIOCCASIN RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-5514
Practice Address - Country:US
Practice Address - Phone:804-741-5700
Practice Address - Fax:804-741-3331
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA86361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice