NOVA LIFESMILES PLLC
NPI 1003479627
Clinic/Center - Dental in Leesburg, VA
Active since April 18, 2019
About Nova Lifesmiles Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOVA LIFESMILES PLLC (NPI 1003479627) is a healthcare organization registered as a dental in Leesburg, Virginia and active in the NPI registry since April 2019. The organization lists Josef Wollmann, Manager, as its authorized official.
NPPES Registry Identity
NPI1003479627
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameNOVA LIFESMILES PLLC
Location Address17 FORT EVANS RD NE STE CLeesburg, VA 20176-4400
Mailing Address21866 Engleside PlBroadlands, VA 20148-4543 · (949) 350-0122
Phone(703) 777-5025
Organization SubpartNo
Authorized OfficialJosef WollmannManager · (949) 350-0122
Enumeration DateApril 18, 2019
✔ NPI 1003479627 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
17 FORT EVANS RD NE STE C, Leesburg, VA 20176
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003479627, enumerated as an "organization" on April 18, 2019.
The provider is located at 17 FORT EVANS RD NE STE C LEESBURG, VA 20176 and the phone number is (703) 777-5025.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
