Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kambiz and Kamran Tavakkoli DMD, PC

Organization General Practice Dentistry · NPI 1497871057

Kambiz and Kamran Tavakkoli DMD, PC provides General Practice Dentistry in Woodbridge, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12500 Lake Ridge Dr
Woodbridge, VA 22192-2354
Phone: (703) 494-3176
Fax: (703) 494-8207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 0401410837 (VA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 0401410838 (VA)

Record details

NPI number1497871057
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kambiz Tavakkoli — Doctor · (703) 494-3176
NPI enumeratedMarch 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing address12500 Lake Ridge Dr, Woodbridge, VA 22192-2354

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