Provider Demographics
NPI:1457419905
Name:SAID & SULTANZADA DDS PC
Entity Type:Organization
Organization Name:SAID & SULTANZADA DDS PC
Other - Org Name:VIRGINIA DENTAL CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:DDS PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YAMA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SULTANZADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-966-2153
Mailing Address - Street 1:2070 OLD BRIDGE RD
Mailing Address - Street 2:#201
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192
Mailing Address - Country:US
Mailing Address - Phone:703-499-9902
Mailing Address - Fax:703-499-9903
Practice Address - Street 1:2070 OLD BRIDGE RD
Practice Address - Street 2:#201
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192
Practice Address - Country:US
Practice Address - Phone:703-499-9902
Practice Address - Fax:703-499-9903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014107021223G0001X
VA04014106221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty