Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780724443 Individual Practitioner Female Practitioner

Dr. Nastaran Ejtemai , DDS

Dentist - General Practice • Fairfax, VA

Professional Overview & Biography Verified Profile Summary

Dr. Nastaran Ejtemai, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fairfax, VA. Practice services are available at 9671 A MAIN STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9671 A Main Street

Fairfax, VA 22031

Telephone 7033230700
Fax 7033238343
Associated Practice Facility / Clinic
🏢 Woodson Square Dental Care Facility NPI 1063754935

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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401007839

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Commonwealth Of Va
0401009839 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1942333984

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 9671 A MAIN STREET, FAIRFAX, VA 22031 (Tel: 7033230700)

📍
Updated Business Mailing Address July 08, 2007

Registered at 9671 A MAIN STREET, FAIRFAX, VA 22031 (Tel: 7033230700)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as NASTARAN EJTEMAI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #0401007839 in VA)

🟢
Initial NPI Registration & Enumeration February 08, 2007

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: 1780724443
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

9671 A Main Street

Fairfax, VA 22031

Phone: 7033230700

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.