Aglow Dental Studio

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AGLOW DENTAL STUDIO

Practice address

11150 Sunset Hills Rd Ste 303
Reston, VA 20190-5335

Phone

(703) 651-6130

NPI assigned

Jan 2, 2020

Last updated

Feb 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

Dr. Rosemary Ahanor, DDSNPI 1124477765

Title

Owner

Phone

(703) 651-6130

Specialties & licenses 1

Addresses

Other names 1

• Aglow Dental PLLC Other name

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.

• Rosemary Ahanor, DDS

  • Dentist
  • Reston, VA
  • NPI 1124477765
  NPD Authorized official

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580601600000",
    "number": "1295374734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 SUNSET HILLS RD STE 303",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 SUNSET HILLS RD STE 303",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905335",
            "telephone_number": "703-651-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGLOW DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-02-02",
        "certification_date": "2020-02-02",
        "status": "A",
        "authorized_official_last_name": "AHANOR",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-651-6130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aglow Dental PLLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Aglow Dental PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Owusu Afiriyie
• George Aguiar, MD
• Zamir Ahadzada, DPT
• Rosemary Ahanor, DDS
• Alice D Ahlgren, M.D.
• Ahmad O Noori MD PC

• Dental Clinic/Center in Reston, VA
• Providers in Reston, 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 Feb 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.