Gorgeous Smile PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GORGEOUS SMILE PLLC

Practice address

4001 9TH St N Ste 218
Arlington, VA 22203-1900

Phone

(619) 278-9239

NPI assigned

Jun 25, 2018

Last updated

Jun 25, 2018By 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

Ahmed T Al-Salim, DDSNPI 1952821225

Title

Owner

Phone

(619) 278-9239

Specialties & licenses 1

Addresses

Other names 1

• Gorgeous Smile PLLC, PLLC Former legal business name

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.

• Ahmed Al-Salim

  • General Practice Dentistry
  • Arlington, VA
  • NPI 1952821225
  NPD (past) Authorized official

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1114412848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13113 SHADOWBROOK LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220335405",
            "telephone_number": "619-278-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 9TH ST N STE 218",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031900",
            "telephone_number": "619-278-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORGEOUS SMILE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "AL-SALIM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-278-9239",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gorgeous Smile PLLC, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lindsey Gopinath, LCSW
• Judit Gordon-Cappitelli, MD
• Assaf Gordon, MD
• Craig A Gordon II, LPC, NCC
• Devra Sara Gordon, LCSW
• Joseph Gorodenker, M.D.
• Margot Elizabeth Gorske, APRN-BC
• Cheryl Gottesfeld, D.C.
• Sharon L Gottovi, LPC, LMFT, LSATP
• Jessica Lavine Gould, DPT

• Dental Clinic/Center in Arlington, VA
• Providers in Arlington, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.