MIRA DENTAL CARE PLLC (NPI# 1750479697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750479697 |
Entity Type | Organization |
Organization Name | MIRA DENTAL CARE PLLC |
Practice Address |
1800 N Kent St Suite 100 Arlington VA 22209 |
Practice Telephone | 7038070808 |
Practice Fax Number | 7038078652 |
Mailing Telephone | 7038070808 |
Mailing Fax Number | 7038078652 |
Enumeration Date | 2006-10-10 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. TAREK MOHAMMAD MOGHARBEL (OWNER) |
Authorized Official Telephone | 7038070808 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
0401411296 | VA | Dental Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | MIRA DENTAL CARE PLLC | 1800 N Kent St Ste 100, Rosslyn, Virginia 22209 |
Street Address |
1800 N KENT ST SUITE 100 |
City | ARLINGTON |
State | VA |
Zip Code | 22209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104185776 | Jelena Kecmanovic | Psychologist | 1655 North Fort Myer Drive, Suite 350, Arlington, VA 22209 | 2012-05-16 |
1386815371 | Metropolitan Psychiatric Services | Psychiatry & Neurology | 1101 Arlington Boulevard, Suite 130, Arlington, VA 22209 | 2008-03-18 |
1467652966 | Anne L. Minor | Social Worker | 1655 Fort Myer Drive, 700, Arlington, VA 22209 | 2007-07-23 |
1811040561 | Jason F Favagehi Dds PC | Dentist | 1000 Wilson Blvd, Suite M745, Arlington, VA 22209 | 2007-01-18 |
1982716015 | Louis J Lavecchia | Dentist | 1515 Wilson Blvd., Suite 103, Arlington, VA 22209 | 2006-08-31 |
1265476022 | Sheila Jahan | Neuromusculoskeletal Medicine & OMM | 1881 N Nash St Unit 309, Arlington, VA 22209 | 2006-06-15 |
1770553828 | Paul Dimitre Garst | Internal Medicine | Medical Director, Tricare Regional Office North, 1700 N. Moore St., Suite 1200, Arlington, VA 22209 | 2006-01-23 |
1619274214 | Samuel Leland Lashley | Psychologist | 1655 Fort Myer Drive, Suite 350, Arlington, VA 22209 | 2011-02-16 |
1568574648 | Gregory L Lavecchia | Dentist | 1515 Wilson Blvd., Suite 103, Arlington, VA 22209 | 2006-08-31 |
1538402185 | Aaron Dodini | Psychologist | 1501 Lee Hwy, Suite 110, Arlington, VA 22209-1047 | 2013-04-02 |
Find all providers in zip 22209 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346854718 | Barbara A Lawnicki Dmd PC | Dentist | 1068 Massachusetts Ave, Arlington, MA 02476-4311 | 2020-09-03 |
1700499720 | Kathy Nguyen | Dentist | 4701 S Cooper St Ste 103, Arlington, TX 76017-5904 | 2020-08-28 |
1932718087 | Jenny K Tran | Dentist | 1250 E Pioneer Pkwy Ste 100, Arlington, TX 76010-6422 | 2020-07-24 |
1518575851 | Reza Tahernia & Associates Pllc | Dentist | 1901 N Moore St Ste 501, Arlington, VA 22209-1700 | 2020-07-22 |
1417591587 | Ace Dental Studio Pllc | Dentist | 3100 Matlock Rd Ste 101, Arlington, TX 76015-2993 | 2019-11-01 |
1639724461 | Crystal Smile, Pllc | Dentist | 2611 Jefferson Davis Hwy Ste 200, Arlington, VA 22202-4043 | 2019-08-08 |
1659933786 | Mayra Karen Jackson | Dentist | 6320 Us 287 Hwy Ste 128, Arlington, TX 76001-2868 | 2019-06-28 |
1508426545 | John A Cusumano | Dentist | 4350 N Fairfax Dr #135, 4350 N Fairfax Dr Suite 135, Arlington, VA 22203-1695 | 2019-06-20 |
1316507601 | Deborah Heylim Chung | Dentist | 3565 Lee Hwy # S3b, Arlington, VA 22207-3716 | 2019-06-18 |
1477038800 | Min Sung Kang | Dentist | 3565 Lee Hwy Ste S3b, Arlington, VA 22207-3716 | 2018-10-02 |
Find all providers in ARLINGTON |
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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.