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General NPI Number Information
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NPI Number | 1487544490
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Entity Type | Organization
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Legal Business Name | PREMIER ORAL FACIAL & IMPLANT SURGERY LLC
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 44081 PIPELINE PLZ STE 220
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City | ASHBURN
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State | VA
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Zip | 20147-5892
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Country | US
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Telephone | 571-291-3244
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Fax | 571-707-8732
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Provider Business Mailing Address
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Address Line | 44081 PIPELINE PLZ STE 220
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City | ASHBURN
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State | VA
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Zip | 20147-5892
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Country | US
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Telephone | 571-291-3244
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Fax | 571-707-8732
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Authorized Official
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Title or Position | ORAL SURGEON/OWNER
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Name | FIRAS ALCHEIKH ALI
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Credential | D.M.D
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Telephone | 571-291-3244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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