# NEO SMILES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568276608
- **Authorized official:** DR. SHILPA REDDY REGATTI (OWNER)
- **Authorized official phone:** (703) 424-9555

## Contact information

- **Practice address:** 2321 DULLES STATION BLVD STE B, HERNDON, VA 20171-6278
- **Practice address phone:** (703) 424-9555
- **Mailing address:** 2321 DULLES STATION BLVD STE B, HERNDON, VA 20171-6278
- **Mailing address phone:** (703) 424-9555

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2025
- **Last updated:** 02/06/2025