Healthcare Provider Details

I. General information

NPI: 1982197992
Provider Name (Legal Business Name): NOOR ORTHODONTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2018
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 ARLINGTON BLVD STE 501
FALLS CHURCH VA
22042-3018
US

IV. Provider business mailing address

6565 ARLINGTON BLVD STE 501
FALLS CHURCH VA
22042-3013
US

V. Phone/Fax

Practice location:
  • Phone: 703-534-8711
  • Fax:
Mailing address:
  • Phone: 703-534-8711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number0401415218
License Number StateVA

VIII. Authorized Official

Name: DR. AMMAR AL-MAHDI
Title or Position: ORTHODONTIST/PRESIDENT
Credential: DDS, MS, A.B.O.
Phone: 571-426-5788