Healthcare Provider Details

I. General information

NPI: 1053160101
Provider Name (Legal Business Name): AUFIA ZHOWANDAI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 NORTHRIDGE LN
LEXINGTON VA
24450-3399
US

IV. Provider business mailing address

25 NORTHRIDGE LN
LEXINGTON VA
24450-3399
US

V. Phone/Fax

Practice location:
  • Phone: 540-464-8700
  • Fax:
Mailing address:
  • Phone: 540-464-8700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number0401419932
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: