Smilez Pediatric Dental Group of Loudoun PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SMILEZ PEDIATRIC DENTAL GROUP OF LOUDOUN PLLC

Doing business as

Smilez Pediatric Dental Group

Practice address

24565 Dulles Landing Dr
Dulles, VA 20166-2715

Phone

(703) 542-7300

NPI assigned

Mar 2, 2020

Last updated

Mar 2, 2020By 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

Corinne El Aomari

Title

Marketing Manager

Phone

(703) 542-7300

Specialties & licenses 1

Addresses

Other names 1

• Smilez Pediatric Dental Group Doing business as

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.

• Bushra A Bhatti, DMD, MSD

  • Pediatric Dentistry
  • Fairfax, VA
  • NPI 1538448683
  NPD (past)

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1144854936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24565 DULLES LANDING DR",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662715",
            "telephone_number": "703-542-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24565 DULLES LANDING DR",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662715",
            "telephone_number": "703-542-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEZ PEDIATRIC DENTAL GROUP OF LOUDOUN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "EL AOMARI",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_title_or_position": "MARKETING MANAGER",
        "authorized_official_telephone_number": "703-542-7300"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smilez Pediatric Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edwin V Sanchez, ASSOCIATE LPCC
• Mital Sarada, RD
• Laylan Shali, MD
• Darrell Eugene Singer, MD
• Sangeeta Sinha, MD
• Specialty Physicians of Northern Virginia, LLC
• Stonesprings Anesthesia Associates, LTD
• Stonesprings Gastroenterology PLLC (N/a)
• Stonesprings Surgicenter, LLC (Stone Springs Ambulatory Surgery Center)
• Susan Tang, PHYSICIAN ASSISTANT

• Pediatric Dentistry in Dulles, VA
• Providers in Dulles, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.