Organization Active NPI

Royal Dental PLLC

Doing business as Royal Dental

  • Dental Clinic/Center
  • Manassas, VA
National Provider Identifier
1417521055
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROYAL DENTAL PLLC
Doing business as
Royal Dental
Practice address
9940 Sowder Village SQ
Manassas, VA 20109-5464
Phone
(703) 361-2345
Fax
(703) 656-4861
NPI assigned
May 18, 2021
Last updated
May 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Dr. Maha Abouel Enin, DDSNPI 1881151504
Title
Owner
Phone
(703) 361-2345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

9940 Sowder Village SQ
Manassas, VA 20109-5464

Mailing address

9940 Sowder Village SQ
Manassas, VA 20109-5464
Phone (703) 361-2345

Other names 1

  • Royal Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@royaldentalva.com Direct

National Provider Directory

National Provider Directory

Locations

9940 Sowder Village Sq
Manassas, VA 20109
Phone (703) 361-2345

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1417521055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9940 SOWDER VILLAGE SQ",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095464",
            "telephone_number": "703-361-2345",
            "fax_number": "703-656-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 SOWDER VILLAGE SQ",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095464",
            "telephone_number": "703-361-2345",
            "fax_number": "703-656-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "ABOUEL ENIN",
        "authorized_official_first_name": "MAHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-361-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@royaldentalva.com",
            "affiliation": "N",
            "endpointDescription": "Office address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9940 Sowder Village Sq",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201095464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Royal Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.