Active NPI 1710263124 Individual Practitioner Female Practitioner

Dr. Ida Kondori , DDS

Dentist - General Practice • Fairfax, VA

Professional Overview & Biography Verified Profile Summary

Dr. Ida Kondori, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fairfax, VA. Practice services are available at 3925 OLD LEE HWY STE 51C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3925 Old Lee Hwy Ste 51c

Fairfax, VA 220302426

Telephone 7039190559

Associated Practice Facility / Clinic

🏢 Aram Afsahi, Dds, P.c. Facility NPI 1548991532

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fairfax, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 14.6 Yrs

Regional Practice Density

130 Specialists

Practicing in Fairfax, VA (3535 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-09-05

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401413361

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

10630 Crestwood Dr Ste A

Manassas, VA 201094405

Phone: 5407855300

4300 Plank Rd, Ste 230

Fredericksburg, VA 224070102

Phone: 5407855300

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location September 05, 2020

Registered at 3925 OLD LEE HWY STE 51C, FAIRFAX, VA 220302426 (Tel: 7039190559)

📍

Updated Business Mailing Address September 05, 2020

Registered at 2920 FOX MILL MANOR DR, OAKTON, VA 221241246 (Tel: 7036621432)

✅

NPI Profile Active July 21, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 21, 2015

Registered at 4300 PLANK RD, STE 230, FREDERICKSBURG, VA 224070102 (Tel: 5407855300)

📍

Updated Business Mailing Address July 21, 2015

Registered at 9686 CHURCH WAY, BURKE, VA 220154001

👤

Provider Name / Credentials Updated July 21, 2015

Recorded as IDA KONDORI, D.D.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2015

Dentist (License #0401413361 in VA)

🟢

Initial NPI Registration & Enumeration October 30, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710263124

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 30, 2011

Last Update: September 05, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2920 Fox Mill Manor Dr

Oakton, VA 221241246

Phone: 7036621432

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.