Ayesha Sultan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401412555 Issued in VA

Practice address

6312 Hoadly Rd
Manassas, VA 20112-3422

Phone

(703) 220-9984

NPI assigned

Oct 16, 2011

Last updated

Oct 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ayesha Sultan DDS PC

  • Preferred Provider Organization
  • Manassas, VA
  • NPI 1063799765
  NPD (past) Authorized official

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

{
    "created_epoch": "1318723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318723200000",
    "number": "1093090516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14260 HOLLY GLEN CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201127011",
            "telephone_number": "703-220-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 HOADLY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201123422",
            "telephone_number": "703-220-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTAN",
        "first_name": "AYESHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-16",
        "last_updated": "2011-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minjeong Suk, DDS
• Sarantuya Sukhee-Hungerford, NP
• Suli Dental Group LLC
• Suli Dental Group LLC
• Lauren Nicole Sulser
• Farhana Sultana
• Hilary Summers-Royce, N.P.
• David A Summerville, MD
• Kamar Luna Sumrall, LCSW
• Haoyue Sun, L.AC

• General Practice Dentistry in Manassas, VA
• Providers in Manassas, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2011; 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.