1821849498 NPI number — SPLENDID SMILES PLLC

Table of content: (NPI 1821849498)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821849498 NPI number — SPLENDID SMILES PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPLENDID SMILES PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821849498
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/01/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15 CUMMINGS DR APT 302
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STAFFORD
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22554-7173
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-208-4696
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
571 FROST AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARRENTON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
20186-3023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-680-4880
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/01/2024

Additional Information

Authorized Official

Authorized Official Last Name:
NAYAK
Authorized Official First Name:
ASHISH
Authorized Official Middle Name:
Authorized Official Title or Position:
PRINCIPAL
Authorized Official Telephone Number:
540-680-4880

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com