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General NPI Number Information
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NPI Number | 1114733219
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Entity Type | Organization
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Legal Business Name | SLEEPY SMILES DENTAL PLLC
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 5280 MEADOW ESTATES DR
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City | FAIRFAX
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State | VA
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Zip | 22030-6658
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Country | US
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Telephone | 703-725-9079
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Fax |
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Provider Business Mailing Address
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Address Line | 5280 MEADOW ESTATES DR
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City | FAIRFAX
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State | VA
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Zip | 22030-6658
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Country | US
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Telephone | 703-725-9079
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Fax |
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | DR. NAVEEN KWATRA
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Credential | DDS
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Telephone | 703-725-9079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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