Provider Demographics
NPI:1174704050
Name:ARIANI, MEHRAN (DDS)
Entity type:Individual
Prefix:DR
First Name:MEHRAN
Middle Name:
Last Name:ARIANI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10721 MAIN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6902
Mailing Address - Country:US
Mailing Address - Phone:703-591-7000
Mailing Address - Fax:703-591-7002
Practice Address - Street 1:10721 MAIN ST STE 300
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030
Practice Address - Country:US
Practice Address - Phone:703-591-7000
Practice Address - Fax:703-591-7002
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010087691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice