Healthcare Provider Details

I. General information

NPI: 1063349801
Provider Name (Legal Business Name): ANDERSON, ROSAS AND BARRAGAN DENTAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2915 HUNTER MILL RD SUITE 5
OAKTON VA
22124
US

IV. Provider business mailing address

2915 HUNTER MILL RD SUITE 5
OAKTON VA
22124
US

V. Phone/Fax

Practice location:
  • Phone: 703-281-4456
  • Fax: 703-281-4611
Mailing address:
  • Phone: 703-281-4456
  • Fax: 703-281-4611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA ANDERSON
Title or Position: OWNER
Credential: DDS
Phone: 703-281-4456