# LINA JAMEEL DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Herndon Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316690985
- **Authorized official:** DR. LINA JAMEEL DDS (DENTIST)
- **Authorized official phone:** (703) 609-8156

## Contact information

- **Practice address:** 112 ELDEN ST STE N, HERNDON, VA 20170-4832
- **Practice address phone:** (703) 787-9000
- **Mailing address:** 9101 FISTERIS CT, WEST SPRINGFIELD, VA 22152-2179
- **Mailing address phone:** (703) 609-8156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2022
- **Last updated:** 02/02/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0401416074 | VA BOARD OF DENTISTRY | VA |