Provider Demographics
NPI:1275242042
Name:MUIR-YOUNG PEDIATRIC SMILES PLLC
Entity Type:Organization
Organization Name:MUIR-YOUNG PEDIATRIC SMILES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUIR-YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-766-3386
Mailing Address - Street 1:641 G ST SW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-2451
Mailing Address - Country:US
Mailing Address - Phone:202-766-3386
Mailing Address - Fax:
Practice Address - Street 1:3650 S GLEBE RD STE 180
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-5605
Practice Address - Country:US
Practice Address - Phone:202-766-3386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental