Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Advanced Dental Anesthesia PLLC

Organization Anesthesiology Physician · NPI 1609357235

Advanced Dental Anesthesia PLLC is an Anesthesiology Physician in Fairfax, Virginia. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10611 Braddock Rd
Fairfax, VA 22032-2201
Phone: (202) 265-0805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1701 Hobart St Nw, Washington, DC 20009-2907 — (202) 265-0508

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence FI5268405 (VA)

Record details

NPI number1609357235
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reza Izadi — Owner · (202) 265-0508
NPI enumeratedAugust 22, 2018
Last updated in NPPESAugust 22, 2018
Mailing address2776 S Arlington Mill Dr # 121, Arlington, VA 22206-3402

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