GREAT SMILE DENTAL (NPI# 1629467881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629467881 |
| Entity Type | Organization |
| Organization Name | GREAT SMILE DENTAL |
| Practice Address |
900 N Randolph St Suite #103 Arlington VA 22203-1949 |
| Practice Telephone | 7032433300 |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |
| Authorized Official Name | DR. HOMAN SOLEMANINEJAD (PRESIDENT) |
| Authorized Official Telephone | 7038625824 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
0401410638 | VA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013472687 | Great Smile Dental | Clinic/Center | 26425 Ne Allen St Ste 102, Duvall, WA 98019-8628 | 2019-02-07 |
| 1457499642 | Great Smile Dental | Dentist | 2145 Roswell Rd, Ste 120, Marietta, GA 30062-0821 | 2007-02-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Great Smile Dental Corporation | 900 N Randolph St, Ste 103, Arlington, Virginia 22203 |
| Colorado Business Entities | Great Smile Dental Group LLC | 629 E Star Ct, Montrose, CO 81401 |
| Connecticut Business Registrations | Great Smile Dental Service, P.C. | 629 W 185th Street, 4th Floor, New York, NY 10033 |
| New York State Corporations | GREAT SMILE DENTAL SERVICE, P.C. | 629 West 185th Street, 4th Flr, New York, Ny 10033 |
| Street Address |
900 N RANDOLPH ST SUITE #103 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22203-1949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528166691 | Haleh Merrickh | Dentist | 900 N Randolph St, Suite 103, Arlington, VA 22203 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053923706 | Yeo Lim Kim | Registered Nurse | 816 N Oakland St, Unit 704, Arlington, VA 22203 | 2020-08-22 |
| 1174016190 | Bilal Rasool Chaudhry | Dentist | 801 N Quincy St Ste 110, Arlington, VA 22203 | 2018-06-13 |
| 1861993479 | Ballston Dental Arts, Pllc | Dentist | 900 N Taylor Street #150, Arlington, VA 22203 | 2018-02-28 |
| 1790293256 | Hawah Yahoh Conteh | Occupational Therapist | 900 North Taylor Street, Arlington, VA 22203 | 2018-01-18 |
| 1992237911 | Annyck Besso | Dietitian, Registered | 4250 Fairfax Dr Ste 600, Arlington, VA 22203 | 2017-03-29 |
| 1093267221 | Wilhelmina Dres | Physical Therapy Assistant | 3821 Wilson Blvd., Arlington, VA 22203 | 2016-11-04 |
| 1063861672 | Gentle Care Dentists | Dentist | 901 N Stuart Street, Suite 101, Arlington, VA 22203 | 2016-06-06 |
| 1235516717 | National Rehabilitation Hospital, Inc. | Physical Therapist | 3833 N. Fairfax Dr., Suite 300, Arlington, VA 22203 | 2015-05-04 |
| 1013313501 | Michelle May | Counselor | 4601 N Fairfax Dr, Suite 1200, Arlington, VA 22203 | 2014-11-10 |
| 1346685567 | Maggie Lyles | Family Medicine | 200 N Glebe Rd Ste 300, Arlington, VA 22203 | 2013-05-01 |
| Find all providers in zip 22203 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346708484 | Crown Dentistry | Clinic/Center | 1006 N Bowen Rd Ste 101, Arlington, TX 76012-2868 | 2019-03-07 |
| 1487110813 | Kevin Scotti Dds | Clinic/Center | 3801 Fairfax Dr Ste 70, Arlington, VA 22203-1762 | 2019-02-11 |
| 1700350055 | Pioneer Dentistry of The Woodlands, Pllc | Clinic/Center | 965 W Lamar Blvd Ste 100, Arlington, TX 76012-2053 | 2019-01-18 |
| 1093216871 | Ah Dentistry of Arlington | Clinic/Center | 430 E Lamar Blvd Ste 102, Arlington, TX 76011-3692 | 2018-02-27 |
| 1912415647 | Mai T Phan, Dds | Clinic/Center | 4001 9th St N Ste 218, Arlington, VA 22203-1900 | 2018-01-16 |
| 1780190918 | Sh Dental Pllc | Clinic/Center | 740 Sw Green Oaks Blvd Ste 201, Arlington, TX 76017-6257 | 2017-12-26 |
| 1265954150 | Supreme Dental Care Pllc | Clinic/Center | 5100 W Sublett Rd Ste 100, Arlington, TX 76001-4860 | 2017-07-12 |
| 1588017198 | Kevin A Harrison, Dds, Ps | Clinic/Center | 16410 Smokey Point Blvd Ste 305, Arlington, WA 98223-8415 | 2016-07-19 |
| 1508226390 | Lone Star Dental Center | Clinic/Center | 3350 S Watson Rd, Arlington, TX 76014-2803 | 2016-03-07 |
| 1013380476 | Mint Dentistry, Pllc | Clinic/Center | 900 E Copeland Rd, #210, Arlington, TX 76011-1390 | 2015-11-07 |
| Find all providers in ARLINGTON | ||||
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| 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.