Organization Active NPI

Comfort H Dental LLC

  • General Practice Dentistry
  • Woodbridge, VA
National Provider Identifier
1114296944
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412394 Issued in VA
Legal business name
COMFORT H DENTAL LLC
Practice address
13601 Office PL
Suite 202
Woodbridge, VA 22192-4213
Phone
(703) 986-0434
NPI assigned
Dec 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Hassanoor Abdirahman
Title
President
Phone
(703) 986-0434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 0401412394 VA Primary

Addresses

Primary practice location

13601 Office PL
Suite 202
Woodbridge, VA 22192-4213

Mailing address

13601 Office PL
Suite 202
Woodbridge, VA 22192-4213
Phone (703) 986-0434

Other names 1

  • Woodbridge Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

13601 Office Pl
Ste 202
Woodbridge, VA 22192
Phone (703) 670-7071

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1114296944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13601 OFFICE PL",
            "address_2": "SUITE 202",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924213",
            "telephone_number": "703-986-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 OFFICE PL",
            "address_2": "SUITE 202",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924213",
            "telephone_number": "703-986-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT H DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "ABDIRAHMAN",
        "authorized_official_first_name": "HASSANOOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-986-0434"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbridge Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.