MEDICARE: ACORA DENTAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1588261085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACORA DENTAL, LLC

Provider Business Mailing Address
First Line	:	41667 BLUE GRAMA CIR
Second Line	:
City	:	ALDIE
State	:	VA
Zip	:	20105-5512
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	85 HIGH ST STE 6
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20602-2150
Country	:	US
Telephone Number	:	301-645-6004
Fax Number	:

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	PREETINDER KAUR AULAKH
Credential	:	DDS
Telephone Number	:	908-723-7641

Provider Enumeration Date	:	10/07/2020
Last Update Date	:	02/06/2026

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