SMILEVILLE PLLC (NPI# 1417515180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417515180 |
| Entity Type | Organization |
| Organization Name | SMILEVILLE PLLC |
| Practice Address |
10009 Southpoint Pkwy Ste 201 Fredericksburg VA 22407-2710 |
| Mailing Address |
8223 Cottage St Vienna VA 22180-6940 |
| Practice Telephone | 5402371700 |
| Mailing Telephone | 2026800866 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | DR. ALI AL-DOURI (DIRECTOR) |
| Authorized Official Telephone | 5402371700 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1780120717 | 05 |
| Other Name | Type Code |
|---|---|
| Reform Dentistry | Doing Business As Name - Organization |
| Street Address |
10009 SOUTHPOINT PKWY STE 201 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22407-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780120717 | Ali Al-douri | Dentist | 10009 Southpoint Pkwy Ste 201, Fredericksburg, VA 22407-2710 | 2017-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120596 | Nutrition for You, LLC | 1129 Heatherstone Drive, Fredericksburg, VA 22407 | 2020-10-08 | |
| 1881241016 | Jessica Tran | Optometrist | 395-a Spotsylvania Towne Centre, Fredericksburg, VA 22407 | 2019-08-22 |
| 1376039065 | Virginia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 6010 Plank Rd, Fredericksburg, VA 22407 | 2018-07-05 |
| 1366935967 | Vip Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 5710 Lucas St, Fredericksburg, VA 22407 | 2018-06-08 |
| 1407348501 | Dina Maria Martinez Lombardy | Counselor | 6506 Forest Grove Dr, Fredericksburg, VA 22407 | 2018-06-04 |
| 1881192342 | Alyssa Testa | Specialist/Technologist | 5219 Mcmanus Dr, Fredericksburg, VA 22407 | 2018-01-30 |
| 1437675725 | Jacqueline D. Turner | Driver | 7112 Sharon Rd, Fredericksburg, VA 22407 | 2017-08-17 |
| 1689199556 | Audrey Daniel | Driver | 10701 Leavells Road, Fredericksburg, VA 22407 | 2017-08-11 |
| 1740722982 | T&d Optometry, LLC | Optometrist | 400 Spotsylvania Towne Centre, (spotsylvania Towne Centre--next To Jcpenney Optical), Fredericksburg, VA 22407 | 2016-11-04 |
| 1639521164 | Fredericksburg Eyecare LLC | Optometrist | 395a Towne Centre Blvd, Fredericksburg, VA 22407 | 2016-07-08 |
| Find all providers in zip 22407 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447728365 | Valley Dental Care | Clinic/Center | 10007 Jefferson Davis Hwy Ste 125, Fredericksburg, VA 22407-9428 | 2018-11-08 |
| 1558876854 | Paul M Jiral Dds and Associates, PC | Clinic/Center | 560 Celebrate Va Pkwy Ste 107, Fredericksburg, VA 22406-7298 | 2017-12-08 |
| 1902329329 | Big Smile Dental | Clinic/Center | 1315 Jefferson Davis Hwy, Fredericksburg, VA 22401-4640 | 2017-07-18 |
| 1467986034 | Valley Dental Care | Clinic/Center | 27 S Gateway Dr, 121, Fredericksburg, VA 22406-1229 | 2017-04-20 |
| 1619365293 | Dr Carlos A. Heresi & Associates Pllc | Clinic/Center | 112 Falcon Dr, Fredericksburg, VA 22408-1931 | 2015-01-05 |
| 1386875003 | Stafford Dental Associates | Clinic/Center | 20 Plantation Dr Ste 139, Fredericksburg, VA 22406-6493 | 2009-07-29 |
| 1407013568 | Michael Morch D.d.s. P.C. | Clinic/Center | 6308 Five Mile Centre Park, Building2 Suite 209, Fredericksburg, VA 22407-5508 | 2008-05-16 |
| 1396365953 | Arlene R. Perry-wright, Dmd, PC | Clinic/Center | 407 Chatham Square Office Park, Fredericksburg, VA 22405-2561 | 2020-04-23 |
| 1275902553 | Precision Dentistry & Implants of Fredericksburg Pllc | Clinic/Center | 205 N Milam St, Fredericksburg, TX 78624-3820 | 2015-09-17 |
| 1811333586 | Quality Dentures of Fredericksburg, Pllc | Clinic/Center | 5100 Southpoint Pkwy, Suite B, Fredericksburg, VA 22407-2661 | 2013-05-21 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22407 |
Please comment or provide details below to improve the information on SMILEVILLE PLLC.
| 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.