Nova Center for Dental Sleep Treatment PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

0401008829 Issued in VA

Legal business name

NOVA CENTER FOR DENTAL SLEEP TREATMENT PLLC

Practice address

2810 Old Lee Hwy
Ste 200a
Fairfax, VA 22031-4376

Phone

(703) 559-3419

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Geith Kallas

Title

Member

Phone

(703) 559-3419

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1740659044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 OLD LEE HWY",
            "address_2": "STE 200A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314376",
            "telephone_number": "703-559-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 OLD LEE HWY",
            "address_2": "STE 200A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314376",
            "telephone_number": "703-559-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA CENTER FOR DENTAL SLEEP TREATMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "KALLAS",
        "authorized_official_first_name": "GEITH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "703-559-3419",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.