Provider Demographics
NPI:1114719184
Name:NOOR SMILES PC
Entity type:Organization
Organization Name:NOOR SMILES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNWER
Authorized Official - Prefix:
Authorized Official - First Name:SANA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSAF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:816-405-3156
Mailing Address - Street 1:3914 CENTREVILLE RD STE 330
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-3290
Mailing Address - Country:US
Mailing Address - Phone:571-723-4545
Mailing Address - Fax:
Practice Address - Street 1:3914 CENTREVILLE RD STE 330
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-3290
Practice Address - Country:US
Practice Address - Phone:571-723-4545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty