# SMILE STUDIO SPECIALIST INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** smile studio Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194219139
- **Authorized official:** ELI JANABI (OWNER)
- **Authorized official phone:** (919) 665-5555

## Contact information

- **Practice address:** 7787 LEESBURG PIKE \# 200, FALLS CHURCH, VA 22043-2412
- **Practice address phone:** (703) 982-2222
- **Practice address fax:** (703) 982-2223
- **Mailing address:** 7787 LEESBURG PIKE \# 200, FALLS CHURCH, VA 22043-2412
- **Mailing address phone:** (703) 982-2222
- **Mailing address fax:** (703) 982-2223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223D0004X | Dental Anesthesiology | — | NULL | — |
| 1223D0004X | Dental Anesthesiology | — | — | — |
| 1223E0200X | Endodontics | 0401415327 | VA | Yes |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | NULL | — |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | — | — |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223P0700X | Prosthodontics | — | NULL | — |
| 1223P0700X | Prosthodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |

## Other

- **Enumeration date:** 06/21/2018
- **Last updated:** 10/11/2018