Organization Active NPI

Nova Smile Design PLLC

  • General Practice Dentistry
  • Fairfax, VA
National Provider Identifier
1699348920
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NOVA SMILE DESIGN PLLC
Practice address
11351 Random Hills Rd
Fairfax, VA 22030-6081
Phone
(703) 865-6677
NPI assigned
Jul 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Authorized official

Name
Sylvie M Lam, DDS
Title
Owner / Dentist
Phone
(202) 256-5396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11351 Random Hills Rd
Fairfax, VA 22030-6081

Mailing address

805 Golden Arrow St
Great Falls, VA 22066-2517
Phone (202) 256-5396

Other names 1

  • Smile Design of Northern Virginia Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.smiles4fairfax.com Direct

National Provider Directory

National Provider Directory

Locations

11351 Random Hills Rd
Fairfax, VA 22030
Phone (703) 865-6677

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1699348920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 GOLDEN ARROW ST",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662517",
            "telephone_number": "202-256-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11351 RANDOM HILLS RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306081",
            "telephone_number": "703-865-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA SMILE DESIGN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "SYLVIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "202-256-5396",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.smiles4fairfax.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "805 Golden Arrow St",
            "city": "Great Falls",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220662517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Smile Design of Northern Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.