# SMILE DENTAL CLINIC

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

## Provider details

- **NPI number:** 1598044760
- **Authorized official:** FARAH AHMAD DDS (DENTIST)
- **Authorized official phone:** (703) 379-1900

## Contact information

- **Practice address:** 5645 COLUMBIA PIKE, FALLS CHURCH, VA 22041-2867
- **Practice address phone:** (703) 379-1900
- **Practice address fax:** (703) 671-6338
- **Mailing address:** 5645 COLUMBIA PIKE, FALLS CHURCH, VA 22041-2867
- **Mailing address phone:** (703) 379-1900
- **Mailing address fax:** (703) 671-6338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401007885 | VA | Yes |
| 1223G0001X | General Practice Dentistry | 0401412506 | VA | — |
| 1223G0001X | General Practice Dentistry | 0401412601 | VA | — |
| 1223G0001X | General Practice Dentistry | 0401412687 | VA | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 0401411908 | VA | — |

## Other

- **Enumeration date:** 08/05/2011
- **Last updated:** 08/05/2011