# SMILEON DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1538749908
- **Authorized official:** DR. ROHINI BANAVAR DMD (DENTIST)
- **Authorized official phone:** (703) 543-8112

## Contact information

- **Practice address:** 5742 PICKWICK RD, CENTREVILLE, VA 20121-4730
- **Practice address phone:** (703) 543-8112
- **Practice address fax:** (703) 825-1644
- **Mailing address:** 5742 PICKWICK RD, CENTREVILLE, VA 20121-4730
- **Mailing address phone:** (703) 543-8112
- **Mailing address fax:** (703) 825-1644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |

## Other

- **Enumeration date:** 04/10/2021
- **Last updated:** 05/27/2021