Organization Active NPI

Smile Virginia, PLLC

  • Dentist
  • MC Lean, VA
National Provider Identifier
1487829586
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILE VIRGINIA, PLLC
Practice address
2010 Corporate RDG
Suite 700
MC Lean, VA 22102-7853
Phone
(888) 833-8441
Fax
(888) 330-4331
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Margo Woll, DDS
Title
Co-Dental Director
Phone
(888) 833-8441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2010 Corporate RDG
Suite 700
MC Lean, VA 22102-7853

Mailing address

33533 W 12 Mile Rd
Suite 150
Farmington Hills, MI 48331-3354
Phone (888) 833-8441

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1487829586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33533 W 12 MILE RD",
            "address_2": "SUITE 150",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313354",
            "telephone_number": "888-833-8441",
            "fax_number": "888-330-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 CORPORATE RDG",
            "address_2": "SUITE 700",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221027853",
            "telephone_number": "888-833-8441",
            "fax_number": "888-330-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE VIRGINIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "WOLL",
        "authorized_official_first_name": "MARGO",
        "authorized_official_title_or_position": "CO-DENTAL DIRECTOR",
        "authorized_official_telephone_number": "888-833-8441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.