MEDICARE: THE TOOTH DOC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1740055680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE TOOTH DOC LLC

Provider Business Mailing Address
First Line	:	1911 BALLENGER AVE
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-6819
Country	:	US
Telephone Number	:	703-299-1200
Fax Number	:	703-299-1222

Provider Business Practice Location Address
First Line	:	1911 BALLENGER AVE
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-6819
Country	:	US
Telephone Number	:	703-299-1200
Fax Number	:	703-299-1222

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AFSANEH S SHAHIDI
Credential	:	DDS
Telephone Number	:	703-483-0857

Provider Enumeration Date	:	11/21/2023
Last Update Date	:	11/21/2023

Similar Medicare Providers

1396259586 — SASAN AHMADIYAR, DDS,PLLC
Practice Location Address:

1911 BALLENGER AVE
ALEXANDRIA, VA
22314-6819

Practice Phone: 703-299-1200
Practice Fax:

1821302175 — DR. ALIYA LADHA M.D.
Practice Location Address:

700 S WASHINGTON ST STE 300
ALEXANDRIA, VA
22314-4287

Practice Phone: 703-940-3364
Practice Fax: 703-717-4055

1053369454 — MS. ANDREA ELLEN WILLIAMS M.D.
Practice Location Address:

700 S WASHINGTON ST STE 330
ALEXANDRIA, VA
22314-4252

Practice Phone: 703-940-3364
Practice Fax: 703-717-4055

1922952498 — MINA HOSSEINI
Practice Location Address:

2805 DUKE ST
ALEXANDRIA, VA
22314-4512

Practice Phone: 703-870-3880
Practice Fax: 775-392-1245

1881280477 — RACHEL KASHY NP
Practice Location Address:

2839 DUKE ST
ALEXANDRIA, VA
22314-4512

Practice Phone: 703-751-9142
Practice Fax:

1497591978 — UMA KUMAR
Practice Location Address:

2121 EISENHOWER AVE STE 501
ALEXANDRIA, VA
22314-4688

Practice Phone: 540-845-6940
Practice Fax:

Directions to “THE TOOTH DOC LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.