Alexandria Smile Dentistry, PC

Dentist, General Practice in Alexandria, VA. Organization (NPI-2).

NPI number1487916656

StatusActive

Last updated in NPPESJun 13, 2012

Details

NPI: 1487916656
Entity type: Organization (NPI-2)
Legal business name: Alexandria Smile Dentistry, PC
Organization subpart: No
Enumeration date: Jun 13, 2012
Last updated: Jun 13, 2012

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1223G0001X	Dentist, General Practice	0401410248	VA	Yes

Practice location

5234 Dawes Ave
Alexandria, VA 22311-1404

Phone 703-671-0626

Mailing address

5234 Dawes Ave
Alexandria, VA 22311-1404

Phone 703-671-0626

Authorized official

Bruce Taheri
Owner
7035832800

Is something wrong?

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Other General Practice Dentistry providers in Alexandria, VA

All 208 General Practice Dentistry providers in Alexandria · All 7,601 providers in Alexandria

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