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WOODBRIDGE PERIODONTAL & IMPLANT CENTER PLLC
NPI 1144743709
Dentist - Periodontics in Woodbridge, VA

Active since July 25, 2017
2200 OPITZ BLVD STE 205, WOODBRIDGE, VA 22191(703) 491-2974 Get Directions Write a Review

NPPES record last updated: August 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2017, Jul 25, 2017 (2 updates tracked since 2017).

About Woodbridge Periodontal & Implant Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOODBRIDGE PERIODONTAL & IMPLANT CENTER PLLC (NPI 1144743709) is a healthcare organization registered as a periodontics in Woodbridge, Virginia and active in the NPI registry since July 2017. The organization lists Ahmad Hawasli, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1144743709
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameWOODBRIDGE PERIODONTAL & IMPLANT CENTER PLLC
Location Address2200 OPITZ BLVD STE 205Woodbridge, VA 22191-3343
Mailing Address2200 Opitz Blvd, # 205Woodbridge, VA 22191
Phone(703) 491-2974
Organization SubpartNo
Authorized OfficialAhmad HawasliPeriodontist · (773) 629-0329
Enumeration DateJuly 25, 2017
Last NPPES UpdateAugust 4, 20172 updates tracked since enumeration
✔ NPI 1144743709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in VA · 0401414973
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2200 OPITZ BLVD STE 205, Woodbridge, VA 22191
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD GEORGE TAMI DDS
Dentist (Periodontics)
2200 OPITZ BLVD STE 205
WOODBRIDGE, VA 22191
Prince William County (703) 491-2974

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Woodbridge Periodontal & Implant Center PLLC's NPI number?

The NPI number for Woodbridge Periodontal & Implant Center PLLC is 1144743709. It was assigned to this organization in the NPPES registry on July 25, 2017.

Where is Woodbridge Periodontal & Implant Center PLLC located?

Woodbridge Periodontal & Implant Center PLLC is located at 2200 Opitz Blvd Ste 205, Woodbridge, VA 22191. The listed phone number is (703) 491-2974.

What is Woodbridge Periodontal & Implant Center PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Woodbridge Periodontal & Implant Center PLLC was last updated on August 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.