Healthcare Provider Details

I. General information

NPI: 1700711322
Provider Name (Legal Business Name): RIDDHI DESAI DMD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 POTOMAC AVE
ARLINGTON VA
22202-4570
US

IV. Provider business mailing address

1840 POTOMAC GREENS DR
ALEXANDRIA VA
22314-6236
US

V. Phone/Fax

Practice location:
  • Phone: 703-202-1171
  • Fax: 703-202-1187
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. RIDDHI DESAI
Title or Position: ORTHODONTIST
Credential: DMD, MS, MBA
Phone: 814-233-6460