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General NPI Number Information
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NPI Number | 1306727938
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Entity Type | Organization
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Legal Business Name | SMILES OF VA PLLC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 7115 LEESBURG PIKE STE 320
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City | FALLS CHURCH
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State | VA
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Zip | 22043-2301
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Country | US
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Telephone | 703-533-1733
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Fax |
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Provider Business Mailing Address
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Address Line | 20380 MEDALIST DR
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City | ASHBURN
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State | VA
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Zip | 20147-4186
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Country | US
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Telephone | 703-999-8208
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANURADHA BERI
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Credential | BDS, CAGS, MSD
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Telephone | 703-999-8208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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