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

Pediatric and Adolescent Dentistry PC

Organization Pediatric Dentistry · NPI 1558639906

Pediatric and Adolescent Dentistry PC is a Pediatric Dentistry in Alexandria, Virginia. Licensed in Virginia. Registered with an NPI since 2011.

Licensed in
VA
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4605D Pinecrest Ofc Park DR
Alexandria, VA 22312-1442
Phone: (703) 352-4121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 0401008254 (VA)

Record details

NPI number1558639906
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Faranak Ghalehbaghi — Pediatric Dentist · (703) 352-4121
NPI enumeratedDecember 13, 2011
Last updated in NPPESDecember 13, 2011
Mailing address4605d Pinecrest Office Park Dr, Alexandria, VA 22312-1442

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