MEDICARE: MUIR-YOUNG PEDIATRIC SMILES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1275242042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUIR-YOUNG PEDIATRIC SMILES PLLC

Provider Business Mailing Address
First Line	:	641 G ST SW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20024-2451
Country	:	US
Telephone Number	:	202-766-3386
Fax Number	:

Provider Business Practice Location Address
First Line	:	3650 S GLEBE RD STE 180
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22202-5605
Country	:	US
Telephone Number	:	202-766-3386
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NATALIE MUIR-YOUNG
Credential	:	D.D.S
Telephone Number	:	202-766-3386

Provider Enumeration Date	:	11/21/2022
Last Update Date	:	11/21/2022

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