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TESFAYE A HAILEMARIAM DDS PC NPI 1659827871


NPI Information

NPI: 1659827871
Provider Name: TESFAYE A HAILEMARIAM DDS PC

Doing Business As: ADDISMILE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5764 DOW AVE
ALEXANDRIA, VA
ZIP 22304
Phone: (703) 256-7711
Get Directions

TESFAYE A HAILEMARIAM DDS PC is a general practice dentist in Alexandria, VA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. TESFAYE A HAILEMARIAM DDS PC NPI is 1659827871. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Addismile.

The provider's business location address is:

5764 DOW AVE
ALEXANDRIA, VA
ZIP 22304
Phone: (703) 256-7711

The provider's authorized official is Tesfaye Hailemariam .
The authorized official title is Owner/dentist and has the following contact phone number (703) 256-7711.

The enumeration date for this NPI number is 8/28/2016 and was last updated on 5/17/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice0401410490VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1104989MEDICAIDVIRGINIA

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: 4/28/2024

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