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

South Riding Oral and Implant Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1285296814

South Riding Oral and Implant Surgery is an Oral and Maxillofacial Surgery (Dentist) in Chantilly, Virginia. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

24805 Pinebrook Rd # 318
Chantilly, VA 20152-4126
Phone: (571) 218-0878
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1285296814
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kamran Raja — Owner · (571) 218-0878
Other names South Riding Oral And Implant Surgery
NPI enumeratedJuly 3, 2019
Last updated in NPPESJuly 3, 2019
Mailing address9209 Marovelli Forest Dr, Lorton, VA 22079-3456

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