Provider Demographics
NPI:1154996353
Name:NATIONAL OROFACIAL INSTITUTE
Entity type:Organization
Organization Name:NATIONAL OROFACIAL INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-214-9779
Mailing Address - Street 1:425B MAPLE AVE W
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4222
Mailing Address - Country:US
Mailing Address - Phone:032-149-7797
Mailing Address - Fax:
Practice Address - Street 1:425B MAPLE AVE W
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4222
Practice Address - Country:US
Practice Address - Phone:032-149-7797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty