Healthcare Provider Details

I. General information

NPI: 1881516714
Provider Name (Legal Business Name): ISTEAR HADDAD DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8150 LEESBURG PIKE STE 900
VIENNA VA
22182-7700
US

IV. Provider business mailing address

2106 RANDOLPH RD APT 112
SILVER SPRING MD
20902-1311
US

V. Phone/Fax

Practice location:
  • Phone: 703-288-4700
  • Fax:
Mailing address:
  • Phone: 240-476-8230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number0401420239
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: