Ashima Ahuja, DDS

Individual provider Active NPI General Practice Dentistry · Herndon, VA

NPI 1508339664 · NPPES record last updated Apr 28, 2020

Key facts

NPI
1508339664
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
0401416384 (VA)
Practice address
201 Elden St Ste 210
Herndon, VA 20170-4853
Phone
(718) 314-7446
NPI assigned
Jan 10, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0401416384VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Daily LLC General Practice Current
since May 3, 2020
Accepting new patients

Locations

201 Elden St
Ste 210
Herndon, VA 20170
Phone (718) 314-7446

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401416384 VA Yes

Addresses

Primary practice location

201 Elden St Ste 210
Herndon, VA 20170-4853

Mailing address

1507 Snowflake CT
Herndon, VA 20170-3933
Phone (718) 314-7446

Other providers in Herndon, VA

All providers in Herndon, VA · General Practice Dentistry in Virginia

Sources for this page

Verify at the official NPI Registry.