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

Dr. Shabnam Ravadgar, DMD

Individual provider General Practice Dentistry · NPI 1295114841

Dr. Shabnam Ravadgar, DMD is a General Practice Dentistry in Herndon, Virginia. Practices as a sole proprietor. Licensed in Florida and Virginia.

Licensed in
FL, VA
In the registry since
2015
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

494 Elden St Ste 220
Herndon, VA 20170-4543
Phone: (703) 574-1716
Fax: (703) 662-9904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 0401416835 (VA)
Dentist Taxonomy 122300000X · Licence DN21136 (FL)

Record details

NPI number1295114841
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 28, 2015
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022

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