Let's Smile of Centreville, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LET'S SMILE OF CENTREVILLE, PLLC

Practice address

14701 Lee Hwy Ste 107
Centreville, VA 20121-2133

Phone

(703) 815-9000

NPI assigned

Dec 7, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Ali Yousef Ghatri, DDS

Title

President

Phone

(703) 719-5828

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sooji Choi, DMD

  • Pediatric Dentistry
  • Fredericksburg, VA
  • NPI 1598374795
  NPD (past)
• Kevin DO, DDS

  • Pediatric Dentistry
  • Chapel Hill, NC
  • NPI 1417492216
  NPD (past)

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1427716463",
    "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": "14701 LEE HWY STE 107",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212133",
            "telephone_number": "703-815-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LET'S SMILE OF CENTREVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "GHATRI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "YOUSEF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-719-5828",
        "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": []
}

• So Jung Lee, D.M.D.
• Sora Lee, L.AC
• Legacy Smiles Group Dba MC Orthodontics PLLC
• Leisure Homecare LLC
• Frederick F Lennon, M.D.
• Alan R Levinstone, M.D.
• Rebecca L. Levy, MED, CCC-A
• Lifeline Home Care
• Lifeline Home Care, Inc
• Sarah B Lim, DDS

• Dental Clinic/Center in Centreville, VA
• Providers in Centreville, 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 Dec 7, 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.