Dr. Ali Al-Douri, DDS
Dentist in Fredericksburg, VA. Individual provider (NPI-1).
NPI number1780120717
StatusActive
Last updated in NPPESApr 16, 2020
Details
- NPI
- 1780120717
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ali Al-Douri
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 14, 2017
- Certification date
- Apr 16, 2020
- Last updated
- Apr 16, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- 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 |
|---|---|---|---|---|
| 122300000X | Dentist | 0401415485 | VA | Yes |
Practice location
10009 Southpoint Pkwy Ste 201Fredericksburg, VA 22407-2710
Phone 540-237-1700
Mailing address
8223 Cottage StVienna, VA 22180-6940
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