Provider Demographics
NPI:1669229878
Name:VIRGINIA FAMILY DENTAL GROUP PLLC
Entity type:Organization
Organization Name:VIRGINIA FAMILY DENTAL GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMEER
Authorized Official - Middle Name:
Authorized Official - Last Name:ATRASH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:703-973-3956
Mailing Address - Street 1:4727 RIPPLING POND DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-5078
Mailing Address - Country:US
Mailing Address - Phone:703-973-3956
Mailing Address - Fax:
Practice Address - Street 1:8303 ARLINGTON BLVD STE 103
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2903
Practice Address - Country:US
Practice Address - Phone:703-560-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental