1. Home
  2. Directory
  3. Virginia
  4. Arlington
  5. Dentist
  6. NPI Profile

CRYSTAL SMILE, PLLC
NPI 1639724461
Dentist - General Practice in Arlington, VA

Active since August 08, 2019
2611 JEFFERSON DAVIS HWY STE 200, ARLINGTON, VA 22202(571) 295-4200 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Smile, Pllc NPPES

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

CRYSTAL SMILE, PLLC (NPI 1639724461) is a healthcare organization registered as a general practice in Arlington, Virginia and active in the NPI registry since August 2019. The organization lists Jason Favagehi, President, as its authorized official.

NPPES Registry Identity

NPI1639724461
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCRYSTAL SMILE, PLLC
Location Address2611 JEFFERSON DAVIS HWY STE 200Arlington, VA 22202-4043
Mailing Address8304 Old Courthouse Rd Ste CVienna, VA 22182-3881 · (703) 356-1200
Phone(571) 295-4200
Organization SubpartNo
Authorized OfficialJason FavagehiPresident · (703) 356-1200
Enumeration DateAugust 8, 2019
✔ NPI 1639724461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2611 JEFFERSON DAVIS HWY STE 200, Arlington, VA 22202
Open in Google Maps ↗

Other Identifiers 1

Other0401007352VA · License

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Crystal Smile, PLLC's NPI number?

The NPI number for Crystal Smile, PLLC is 1639724461. It was assigned to this organization in the NPPES registry on August 8, 2019.

Where is Crystal Smile, PLLC located?

Crystal Smile, PLLC is located at 2611 Jefferson Davis Hwy Ste 200, Arlington, VA 22202. The listed phone number is (571) 295-4200.

What is Crystal Smile, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Crystal Smile, PLLC accept?

Health plans from UnitedHealthcare list Crystal Smile, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crystal Smile, PLLC was last updated on August 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.