Provider Demographics
NPI:1508616806
Name:ANISA KASIRI DDS PLLC
Entity type:Organization
Organization Name:ANISA KASIRI DDS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANISA
Authorized Official - Middle Name:
Authorized Official - Last Name:KASIRI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-768-7600
Mailing Address - Street 1:211 SANTA CLARA DR
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23229-7152
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9401 COURTHOUSE RD STE 306
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-6686
Practice Address - Country:US
Practice Address - Phone:804-768-7600
Practice Address - Fax:804-768-0115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-27
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty