Provider Demographics
NPI:1003560970
Name:AKBAR DAWOOD DMD, PLLC
Entity type:Organization
Organization Name:AKBAR DAWOOD DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:AKBAR
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:703-520-2300
Mailing Address - Street 1:1953 GALLOWS RD STE 155
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3997
Mailing Address - Country:US
Mailing Address - Phone:703-520-2300
Mailing Address - Fax:
Practice Address - Street 1:1953 GALLOWS RD STE 155
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-3997
Practice Address - Country:US
Practice Address - Phone:703-520-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty