Healthcare Provider Details

I. General information

NPI: 1528908936
Provider Name (Legal Business Name): BROWNSTONE DENTAL GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 FETTLER PARK DR STE 107
DUMFRIES VA
22025-2044
US

IV. Provider business mailing address

3800 FETTLER PARK DR STE 107
DUMFRIES VA
22025-2044
US

V. Phone/Fax

Practice location:
  • Phone: 571-520-2500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ALI ZAMANI
Title or Position: OWNER
Credential: DDS
Phone: 571-520-2500