Organization Active NPI

Aldouri DDS PLLC

Doing business as Reform Dentistry

  • Dental Clinic/Center
  • Fredericksburg, VA
National Provider Identifier
1033990890
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ALDOURI DDS PLLC
Doing business as
Reform Dentistry
Practice address
5761 Plank Rd
Fredericksburg, VA 22407-6227
Phone
(540) 307-1775
Fax
(540) 315-7740
NPI assigned
Oct 9, 2023
Last updated
Oct 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ali Al-DouriNPI 1780120717
Title
Owner
Phone
(202) 680-0866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5761 Plank Rd
Fredericksburg, VA 22407-6227

Mailing address

8411 Berea CT
Vienna, VA 22180-7102
Phone (202) 680-0866

Other names 1

  • Reform Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5761 Plank Rd
Fredericksburg, VA 22407
Phone (540) 307-1775

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1033990890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8411 BEREA CT",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221807102",
            "telephone_number": "202-680-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5761 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076227",
            "telephone_number": "540-307-1775",
            "fax_number": "540-315-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDOURI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "AL-DOURI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-680-0866"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reform Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.