IndividualActive
Andrew Betaharon, DDS
NPI 1659509453 · General Practice Dentistry · Annandale, VA
Provider details
- NPI number
- 1659509453
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 14644 (MD)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
8400 Kay Ct
Annandale, VA 22003-2206
Phone: (240) 338-5995
Approximate (ZIP-level) locationGet directions
Mailing address
8400 Kay Ct
Annandale, VA 22003-2206
Registry dates
- Enumerated
- 2009-06-30
- Last updated
- 2016-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.