Healthcare Provider Details

I. General information

NPI: 1417867813
Provider Name (Legal Business Name): SHARIF SMILES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10391 DEMOCRACY LN STE A
FAIRFAX VA
22030-2583
US

IV. Provider business mailing address

2416 ROCKY BRANCH RD
VIENNA VA
22181-4066
US

V. Phone/Fax

Practice location:
  • Phone: 571-225-6081
  • Fax:
Mailing address:
  • Phone: 571-225-6081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: SHAMOONA SHARIF
Title or Position: OWNER DENTIST
Credential:
Phone: 571-225-6081