Lets Smile Cosmetic Dentistry of Fairfax PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LETS SMILE COSMETIC DENTISTRY OF FAIRFAX PLLC

Practice address

4210 Fairfax Corner Ave W Ste 245
Fairfax, VA 22030-8627

Phone

(703) 719-5828

NPI assigned

Sep 29, 2022

Last updated

Sep 29, 2022By 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

Member

Phone

(703) 719-5828

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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
• Joseph Alwan, DDS

  • Dentist
  • Great Falls, VA
  • NPI 1871838581
  NPD (past)

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1184348559",
    "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": "703-719-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETS SMILE COSMETIC DENTISTRY OF FAIRFAX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "GHATRI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "703-719-5828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie C Kilpatrick LLC
• Shannon M Lester, CCC-SLP
• Stacey Lester, LCSW
• Let's Smile of Fairfax PLLC
• Lets Eat Healthy Life LLC
• Lets Smile Ortho Fairfax PLLC
• Joseph Paul Letzelter III, M.D. ON 05/2012
• Patric Justin Leukel, PH.D.
• Jenna Alene Levantin
• Juliette Marie Levchenko

• General Practice Dentistry in Fairfax, VA
• Providers in Fairfax, 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 Sep 29, 2022; 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.