Kambiz Tavakkoli, D.M.D
Dentist, General Practice in Alexandria, VA. Individual provider (NPI-1).
NPI number1326348335
StatusActive
Last updated in NPPESOct 25, 2010
Details
- NPI
- 1326348335
- Entity type
- Individual (NPI-1)
- Name
- Kambiz Tavakkoli
- Credential
- D.M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2010
- Last updated
- Oct 25, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 10837 | VA | Yes |
Practice location
1500 King StSuite 300
Alexandria, VA 22314-2730
Phone 703-683-6688 · Fax 703-683-6690
Mailing address
1500 King StSuite 300
Alexandria, VA 22314-2730
Phone 703-683-6688 · Fax 703-683-6690
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