Organization
SASAN AHMADIYAR DDS & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMIR SAEID AHMADIYAR (OFFICE MANAGER)
(540) 657-7645
Entity
Organization
Contact information
Practice address
385 GARRISONVILLE RD, SUITE 108, STAFFORD, VA 22554-1545
(540) 657-7645
(540) 657-1009
Mailing address
385 GARRISONVILLE RD, SUITE 108, STAFFORD, VA 22554-1545
(540) 657-7645
(540) 657-1009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
VA
1223P0300X
Periodontics
Primary
0401008083
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1685355
UNITED CONCORDIA
—
01
—
173202
ANTHEM BCBS OF VIRGINIA
VA
Enumeration date
01/31/2007
Last updated
09/11/2025
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