Organization · NPI-2
Ashburnfarm Dental Arts
Advanced Practice Dental Therapist · Ashburn, VA
NPI number1487054128
StatusActive
Last updated in NPPESAug 31, 2014
Details
- NPI
- 1487054128
- Entity type
- Organization (NPI-2)
- Legal business name
- Ashburnfarm Dental Arts
- Organization subpart
- Yes
- Enumeration date
- Aug 31, 2014
- Last updated
- Aug 31, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 125K00000X | Advanced Practice Dental Therapist | 7312 | VA | Yes |
Other names
- Landmark Smile DDS PC (Doing Business As)
Practice location
43330 Junction Plaza Suite 122Ashburn, VA 20147
Phone 703-729-7900
Mailing address
43330 Junction Plz Ste 122Ashburn, VA 20147-3407
Phone 703-729-7900
Authorized official
Dan D Ashouripour
President
7036256800
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.