Individual
JACOB MIRPANAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
984 FIRST COLONIAL RD STE 200, VIRGINIA BEACH, VA 23454-3196
(757) 412-2235
Mailing address
44040 BRUCETON MILLS CIR, ASHBURN, VA 20147-4808
(703) 650-8265
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417927
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2022
Last updated
06/17/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up