Healthcare Provider Details

I. General information

NPI: 1770149742
Provider Name (Legal Business Name): NOEEN ARSHAD DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2019
Last Update Date: 02/10/2020
Certification Date: 02/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 UNIVERSITY BLVD STE A
HARRISONBURG VA
22801-3751
US

IV. Provider business mailing address

1821 S VALLEY MILLS DR STE 195
WACO TX
76711-2123
US

V. Phone/Fax

Practice location:
  • Phone: 540-432-1300
  • Fax: 540-438-0811
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number0401415613
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number0401415613
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: