# ARLINGTON DENTAL EXCELLENCE SPECIALISTS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arlington Dental Excellence Specialists PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164911863
- **Authorized official:** BAN BAKER (OFFICE MANAGER)
- **Authorized official phone:** (703) 525-0157

## Contact information

- **Practice address:** 3801 FAIRFAX DR STE 54, ARLINGTON, VA 22203-1762
- **Practice address phone:** (170) 352-5015
- **Practice address fax:** (703) 525-3241
- **Mailing address:** 3801 FAIRFAX DR STE 54, ARLINGTON, VA 22203-1762
- **Mailing address phone:** (170) 352-5015
- **Mailing address fax:** (703) 525-3241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0004X | Dental Anesthesiology | — | NULL | — |
| 1223D0004X | Dental Anesthesiology | — | — | — |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 05/08/2018
- **Last updated:** 06/11/2019