# EMPIREDENTAL L.L.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1639629744
- **Authorized official:** DR. MULUALEM TESFAYE ASSEFA D.D.S. (OWNER)
- **Authorized official phone:** (703) 575-8789

## Contact information

- **Practice address:** 5622 COLUMBIA PIKE, SUITE 103, FALLS CHURCH, VA 22041-2718
- **Practice address phone:** (703) 575-8789
- **Mailing address:** 5622 COLUMBIA PIKE, SUITE 103, FALLS CHURCH, VA 22041-2718
- **Mailing address phone:** (703) 575-8789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401415215 | VA | Yes |

## Other

- **Enumeration date:** 10/12/2016
- **Last updated:** 10/12/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1053793653 | NPI TYPE 2 | — |