OPTIMAL DENTAL CENTER, INC (NPI# 1518330133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518330133 |
Entity Type | Organization |
Organization Name | OPTIMAL DENTAL CENTER, INC |
Practice Address |
8303 Arlington Blvd Suite 107 Fairfax VA 22031-2903 |
Practice Telephone | 7035731313 |
Practice Fax Number | 7035736180 |
Mailing Telephone | 7035731313 |
Mailing Fax Number | 7035736180 |
Enumeration Date | 2015-11-04 |
Last Update Date | 2015-11-04 |
Authorized Official Name | DR. QUYEN NGOC DANG (PRESIDENT) |
Authorized Official Telephone | 7033892943 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QD0000X |
Clinic/Center Specialization: Dental |
0401412564 | VA | Ambulatory Health Care Facilities |
N | 261QD0000X |
Clinic/Center Specialization: Dental |
0401414108 | VA | Ambulatory Health Care Facilities |
N | 261QD0000X |
Clinic/Center Specialization: Dental |
0401006304 | VA | Ambulatory Health Care Facilities |
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
0401410698 | VA | Ambulatory Health Care Facilities |
Street Address |
8303 ARLINGTON BLVD SUITE 107 |
City | FAIRFAX |
State | VA |
Zip Code | 22031-2903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710947916 | Su J. Choi, M.d. PC | Family Medicine | 8303 Arlington Blvd, Suite# 110, Fairfax, VA 22031-2903 | 2006-03-23 |
1437508736 | Soojoon Moon | Chiropractor | 8303 Arlington Blvd, Ste 202, Fairfax, VA 22031-2903 | 2016-06-07 |
1669804159 | Vip Imed Center | General Practice | 8303 Arlington Blvd, Suite 110, Fairfax, VA 22031-4645 | 2013-08-06 |
1669814083 | Assal Assadi | Dentist | 8303 Arlington Blvd, Suite 107, Fairfax, VA 22031-2903 | 2013-07-26 |
1811250293 | Jorge I Ramallo | Obstetrics & Gynecology | 8303 Arlington Blvd, Suite 210, Fairfax, VA 22031-2903 | 2012-06-20 |
1033408307 | Hieu Phuong Nguyen | Dentist | 8303 Arlington Blvd, 107, Fairfax, VA 22031-2903 | 2011-04-07 |
1376799700 | Optimal Chiro-rehab Center LLC | Chiropractor | 8303 Arlington Blvd, Ste 202, Fairfax, VA 22031-2903 | 2008-08-18 |
1467611707 | Suneetha Manem | Specialist | 8303 Arlington Blvd, Suite 202, Fairfax, VA 22031-2903 | 2008-06-02 |
1508031667 | Applied Neuropsychological Services PC | Clinical Neuropsychologist | 8303 Arlington Blvd, Suite 205, Fairfax, VA 22031-2903 | 2008-04-29 |
1063687879 | Optimal Health Corporation | Dentist | 8303 Arlington Blvd, 107, Fairfax, VA 22031-2903 | 2008-04-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
Find all providers in zip 22031 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053873240 | Merrifield Dental Associates | Clinic/Center | 3025 Hamaker Ct Ste 420, Fairfax, VA 22031-2237 | 2019-04-05 |
1790124949 | Georges Traboulsi Dds PC | Clinic/Center | 3946 Kathryn Jean Ct, Fairfax, VA 22033-2739 | 2013-06-20 |
1154606440 | Robert M. Haberkorn Dds | Clinic/Center | 1987 Allendale Fairfax Hwy., Fairfax, SC 29827 | 2011-10-18 |
1023287737 | Naturadent, P.C. | Clinic/Center | 9508a Lee Hwy, Fairfax, VA 22031-2303 | 2008-02-27 |
1932292877 | William B Sherman Dds PC | Clinic/Center | 9500 B Lee Highway, Fairfax, VA 22031 | 2006-10-02 |
1205897378 | Spencer B Wagner Dmd PC | Clinic/Center | 1987 Allendale Fairfax Hwy, Fairfax, SC 29827-9137 | 2006-03-29 |
1710477815 | Pd Dental Pllc | Clinic/Center | 10721 Main St Ste 100, Fairfax, VA 22030-6913 | 2018-05-14 |
1831606086 | Jhia-ming Chang, Dds, PC | Clinic/Center | 11208 Waples Mill Rd Ste 100, Fairfax, VA 22030-6077 | 2018-01-09 |
1336661651 | Jones Family Dentistry Pllc | Clinic/Center | 3879 Plaza Dr, Fairfax, VA 22030-2512 | 2017-07-07 |
1346651510 | Mojgan Shaafi Dds PC | Clinic/Center | 3541 Chain Bridge Rd Ste 3, Fairfax, VA 22030-2793 | 2014-05-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.