Prestige Dental Specialists PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

0401413960 Issued in VA

Legal business name

PRESTIGE DENTAL SPECIALISTS PLLC

Doing business as

Center for Dentofacial Aesthetics

Practice address

7630 Little River Tpke
Sue 115
Annandale, VA 22003-2610

Phone

(703) 256-2556

Fax

(703) 256-7722

NPI assigned

Mar 1, 2017

Last updated

Mar 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lorrie Lynch

Title

Dental Office Manager

Phone

(703) 256-2556

Specialties & licenses 1

Addresses

Other names 1

• Center for Dentofacial Aesthetics Doing business as

Tax ID family

Center for Dentofacial Aesthetics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prestige Dental Specialists

  dba Center for Dentofacial Aesthetics

  • Dentist
  • Annandale, VA
  • NPI 1073990594
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harshit A Aggarwal, MSD FACP FICD

  • Prosthodontics
  • Annandale, VA
  • NPI 1184944217
  NPD (past)

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1902346687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 LITTLE RIVER TPKE",
            "address_2": "SUE 115",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032610",
            "telephone_number": "703-256-2556",
            "fax_number": "703-256-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 LITTLE RIVER TPKE",
            "address_2": "SUE 115",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032610",
            "telephone_number": "703-256-2556",
            "fax_number": "703-256-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE DENTAL SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "LORRIE",
        "authorized_official_title_or_position": "DENTAL OFFICE MANAGER",
        "authorized_official_telephone_number": "703-256-2556",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Dentofacial Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sujeeta Poudel
• Arthur Gregory Powell
• Tyrus Powell, OTR/L
• Rubina Prajapati
• Prestige Dental Specialists (Center for Dentofacial Aesthetics)
• Prestige Health Services, LLC
• Bradley Pretzer
• Dudley Randolph Price, MD
• Primary Gerontology Center LLC
• Primary Health Center, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.