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

Last updated

Aug 5, 2021By the provider in NPPES

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, DDSNPI 1376627844

Title

Manager

Phone

(703) 719-5828

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ali Yousef Ghatri, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Springfield, VA
  • NPI 1376627844
  Authorized official Same address or phone

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.