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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154996049

Farzad Koosha, DDS is a Student in an Organized Health Care Education/Training Program in Chesapeake, Virginia. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

560 Kempsville Rd
Chesapeake, VA 23320-3603
Phone: (757) 378-0906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1154996049
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 24, 2021
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025
Mailing address560 Kempsville Rd, Chesapeake, VA 23320-3603

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