Lets Smile Ortho Fairfax PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

LETS SMILE ORTHO FAIRFAX PLLC

Practice address

4210 Fairfax Corner Ave W Ste 245
Fairfax, VA 22030-8627

Phone

(818) 533-8911

NPI assigned

Aug 5, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Ali Y Ghatri, DDS

Title

Manager

Phone

(703) 719-5828

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1043984784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 FAIRFAX CORNER AVE W STE 245",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308627",
            "telephone_number": "703-719-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 FAIRFAX CORNER AVE W STE 245",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308627",
            "telephone_number": "818-533-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETS SMILE ORTHO FAIRFAX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "GHATRI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-719-5828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon M Lester, CCC-SLP
• Stacey Lester, LCSW
• Let'S Smile of Fairfax PLLC
• Lets Eat Healthy Life LLC
• Lets Smile Cosmetic Dentistry of Fairfax PLLC
• Joseph Paul Letzelter III, M.D. ON 05/2012
• Patric Justin Leukel, PH.D.
• Jenna Alene Levantin
• Juliette Marie Levchenko
• Brian Lee Levine, PSYD

• Orthodontics and Dentofacial Orthopedics Dentistry in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.