Provider Demographics
NPI:1841480290
Name:ADI, NAJIB (DMD)
Entity type:Individual
Prefix:DR
First Name:NAJIB
Middle Name:
Last Name:ADI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7502 IRON BAR LANE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155
Mailing Address - Country:US
Mailing Address - Phone:703-646-1211
Mailing Address - Fax:703-552-7733
Practice Address - Street 1:7502 IRON BAR LANE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155
Practice Address - Country:US
Practice Address - Phone:703-646-1211
Practice Address - Fax:703-552-7733
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014110891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice