Smiles 4 Fairfax, PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401411836 Issued in VA

Legal business name

SMILES 4 FAIRFAX, PLC

Practice address

11351 Random Hills Rd
Suite 290
Fairfax, VA 22030-6081

Phone

(703) 865-6677

Fax

(703) 865-6680

NPI assigned

Mar 4, 2016

Organization subpart

No

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

Authorized official

Name

Howard The NgoNPI 1700067188

Title

Owner/ Doctor

Phone

(703) 865-6677

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Howard T Ngo, DDS

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1700067188
  NPD (past) Authorized official
• Roger Louis Marcellin, D.D.S.

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1437341641
  NPD (past)

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1942660873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11351 RANDOM HILLS RD",
            "address_2": "SUITE 290",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306081",
            "telephone_number": "703-865-6677",
            "fax_number": "703-865-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11351 RANDOM HILLS RD",
            "address_2": "SUITE 290",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306081",
            "telephone_number": "703-865-6677",
            "fax_number": "703-865-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES 4 FAIRFAX, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "THE",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "703-865-6677"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411836",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414383",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Sloate, PSY.D.
• Megan R Slocum, PA-C
• Tina Pinto Slottow
• Neil J Small, DDS
• Brianna Smalls
• Kristen Michelle Smiley-Flowers, MSN,RN, FNP-BC
• Alexandra Smith
• Alison C Smith, PH.D.
• Anna Smith
• Barbara G Smith, PHD

• General Practice Dentistry in Fairfax, VA
• Providers in Fairfax, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.