Provider Demographics
NPI:1982197992
Name:NOOR ORTHODONTICS INC
Entity Type:Organization
Organization Name:NOOR ORTHODONTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-MAHDI
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:571-426-5788
Mailing Address - Street 1:6565 ARLINGTON BLVD STE 501
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3013
Mailing Address - Country:US
Mailing Address - Phone:703-534-8711
Mailing Address - Fax:
Practice Address - Street 1:6565 ARLINGTON BLVD STE 501
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3013
Practice Address - Country:US
Practice Address - Phone:703-534-8711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-13
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014152181223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty