Healthcare Provider Details

I. General information

NPI: 1093326084
Provider Name (Legal Business Name): COMFY DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2020
Last Update Date: 10/06/2020
Certification Date: 10/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 N QUINCY ST
ARLINGTON VA
22203-1907
US

IV. Provider business mailing address

915 N QUINCY ST
ARLINGTON VA
22203-1907
US

V. Phone/Fax

Practice location:
  • Phone: 703-276-1010
  • Fax:
Mailing address:
  • Phone: 703-276-1010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. OMER AKMAL
Title or Position: PARTNER
Credential: DDS
Phone: 202-277-6444