MIRPANAH & FAZEL DENTAL – NPI #1912849795
Clinic/Center

MIRPANAH & FAZEL DENTAL is an AHC clinic located in VIRGINIA BEACH, VA. NPPES recently assigned the NPI number 1912849795 to MIRPANAH & FAZEL DENTAL on April 08, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIRPANAH & FAZEL DENTAL below.

NPI Profile for
MIRPANAH & FAZEL DENTAL

NPI Number
1912849795
Enumeration Date

(about 2 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MIRPANAH & FAZEL DENTAL
Primary location
984 FIRST COLONIAL RD STE 200
VIRGINIA BEACH, VA 23454-3196
Phone: (757) 412-2235 Fax:
Mailing address
9626 21ST BAY ST
NORFOLK, VA 23518-1609
Phone: (703) 650-8265 Fax:
Organization Subpart
No
Authorized Official
JACOB MIRPANAH
DENTIST
Phone: (703) 650-8265
Updated
Certification Date
Apr 08, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.