SUPER SMILE CENTER OF TYSONS (NPI# 1417403767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417403767 |
| Entity Type | Organization |
| Organization Name | SUPER SMILE CENTER OF TYSONS |
| Practice Address |
7115 Leesbug Pike #216 Falls Church VA 22043 |
| Mailing Address |
7115 Leesbug Pike 216 Falls Church VA 22043 |
| Practice Telephone | 7035324400 |
| Practice Fax Number | 7035327400 |
| Mailing Telephone | 7035324400 |
| Mailing Fax Number | 7035327400 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |
| Authorized Official Name | DR. AMISHA N SHROFF (OWNER / DENTIST) |
| Authorized Official Telephone | 7035324400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401411963 | VA | Dental Providers |
| Street Address |
7115 LEESBUG PIKE #216 |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912472051 | All Secured Home Health Services LLC | Respite Care | All Secured Home Health Services LLC, 7777 Leesburg Pike, Suite 416n, Falls Church, VA 22043 | 2018-10-04 |
| 1437674546 | Archana Vuppala | Behavioral Analyst | 7600 Leesburg Pike Ste 105, Falls Church, VA 22043 | 2017-08-09 |
| 1407398670 | Daniel O. Sotelo Cruz | Dentist | Cuahutemoc Sur 3628, Col Chula Vista, Tijuana, BAJA CALIFORNIA 22043 | 2016-11-04 |
| 1366876856 | Tysons Dental Care Pllc | Dentist | 7787 Leesburg Pike #2, Falls Church, VA 22043 | 2013-09-03 |
| 1326388992 | Coviello Oral Surgery PC | Dentist | 2843 Hartland Rd., Suite 150, Falls Church, VA 22043 | 2013-02-19 |
| 1295071561 | Essence of Acupuncture LLC | Acupuncturist | 2273 Kings Garden Way, Falls Church, VA 22043 | 2012-12-14 |
| 1285980292 | James Spengler | Specialist/Technologist | 7743 Virginia 7, Falls Church, VA 22043 | 2012-07-27 |
| 1316267909 | Mehrnush Mohebi | Counselor | 7777 Leesburg Pike Ste 102n, Falls Church, VA 22043 | 2010-06-04 |
| 1689823957 | Jesus Jimenez Gonzalez | General Practice | 2891 Hartland Rd #207, Braner Clinics, Falls Church, VA 22043 | 2008-09-11 |
| 1114061173 | Vandana Raj Sharma | Specialist | 2841 Hartland Road, Fallschurch, Falls Church, VA 22043 | 2007-02-16 |
| Find all providers in zip 22043 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930444 | Samuel Lee Wolfe | Dentist | 444 W Broad St Ste D, Falls Church, VA 22046-3362 | 2020-07-23 |
| 1760036891 | Kasra Khamooshi | Dentist | 5205 Leesburg Pike Ste 1406, Falls Church, VA 22041-3894 | 2019-07-26 |
| 1053971952 | Nirali Khanpara | Dentist | 7502 Parkwood Ct Apt 302, Falls Church, VA 22042-7502 | 2019-06-13 |
| 1548728801 | Falls Church Modern Dentistry, PC | Dentist | 1212 W Broad St, Falls Church, VA 22046-2116 | 2019-03-06 |
| 1194219139 | Smile Studio Specialist Inc | Dentist | 7787 Leesburg Pike # 200, Falls Church, VA 22043-2412 | 2018-06-21 |
| 1437674835 | David Matney | Dentist | 313 Park Ave Ste 103, Falls Church, VA 22046-3303 | 2017-08-07 |
| 1740639947 | Sina Hedayatnia | Dentist | 5113 Leesburg Pike Ste 811, Falls Church, VA 22041 | 2016-06-08 |
| 1235507575 | Qing Xu | Dentist | 3871 Pinewood Ter, Falls Church, VA 22041-1214 | 2015-09-03 |
| 1962896050 | Anderson Dental Associates | Dentist | 3701 S. George Mason Dr., Suite#c7n, Falls Church, VA 22041 | 2015-03-26 |
| 1841683059 | Mohammed Filali | Dentist | 5205 Leesburg Pike Suite 1406, Falls Church, VA 22041 | 2015-03-12 |
| Find all providers in FALLS CHURCH | ||||
| City | FALLS CHURCH |
| Zip Code | 22043 |
Please comment or provide details below to improve the information on SUPER SMILE CENTER OF TYSONS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.