Healthcare Provider Details

I. General information

NPI: 1083579239
Provider Name (Legal Business Name): CAPITALSMILES,PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 MAPLE AVE W STE B
VIENNA VA
22180-4248
US

IV. Provider business mailing address

402 MAPLE AVE W STE B
VIENNA VA
22180-4248
US

V. Phone/Fax

Practice location:
  • Phone: 703-255-2573
  • Fax:
Mailing address:
  • Phone: 703-255-2573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ANAMARIA CABEL
Title or Position: OWNER
Credential: DDS
Phone: 305-879-2295