IndividualActive
Bijan Kooshki, DDS
NPI 1821134222 · Periodontics · Ashburn, VA
Provider details
- NPI number
- 1821134222
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 0401008844 (VA)
Specialties & taxonomies
Dental Providers
Practice location
44345 Premier Plaza
Suite 220
Ashburn, VA 20147
Phone: (703) 729-9666
Fax: (703) 729-4722
Approximate (ZIP-level) locationGet directions
Mailing address
1444 Kempsville Rd 101
Virginia Beach, VA 23464-7302
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2015-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.