# SMILEVILLE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Reform Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417515180
- **Authorized official:** DR. ALI AL-DOURI DDS (DIRECTOR)
- **Authorized official phone:** (540) 237-1700

## Contact information

- **Practice address:** 10009 SOUTHPOINT PKWY STE 201, FREDERICKSBURG, VA 22407-2710
- **Practice address phone:** (540) 237-1700
- **Mailing address:** 8223 COTTAGE ST, VIENNA, VA 22180-6940
- **Mailing address phone:** (202) 680-0866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/29/2019
- **Last updated:** 05/29/2019