GORGEOUS SMILE PLLC NPI 1114412848

NPI Information

  • NPI: 1114412848
  • Provider Name: GORGEOUS SMILE PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Former Legal Business Name: GORGEOUS SMILE PLLC, PLLC
  • Address: 4001 9TH ST N STE 218
    ARLINGTON, VA
    ZIP 22203
  • Phone: (619) 278-9239

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NPI Details

GORGEOUS SMILE PLLC is a dental clinic center in Arlington, VA. GORGEOUS SMILE PLLC NPI is 1114412848. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Gorgeous Smile Pllc, Pllc.

The provider's business location address is:

4001 9TH ST N STE 218
ARLINGTON, VA
ZIP 22203-900
Phone: (619) 278-9239

The provider's authorized official is Ahmed T Al-salim .
The authorized official title is Owner and has the following contact phone number (619) 278-9239.

The enumeration date for this NPI number is 6/25/2018 and was last updated on 6/25/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalVIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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