PEDIATRIC SMILES OF FAIRFAX PLLC NPI 1659038883

NPI Information

PEDIATRIC SMILES OF FAIRFAX, PLLC is a dental clinic center in Fairfax, VA. PEDIATRIC SMILES OF FAIRFAX, PLLC NPI is 1659038883. The provider is registered as an organization entity type.

The provider's business location address is:

13135 LEE JACKSON HWY STE 110
FAIRFAX, VA
ZIP 22033-909
Phone: (908) 472-5358

The provider's authorized official is Jazmin Floyd .
The authorized official title is Owner and has the following contact phone number (908) 472-5358.

The CLIA number assigned to this NPI record is 21D0213550 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/22/2021 and was last updated on 11/22/2021.

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:

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