Provider Demographics
NPI:1487544490
Name:PREMIER ORAL FACIAL & IMPLANT SURGERY LLC
Entity type:Organization
Organization Name:PREMIER ORAL FACIAL & IMPLANT SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORAL SURGEON/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FIRAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCHEIKH ALI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:571-291-3244
Mailing Address - Street 1:44081 PIPELINE PLZ STE 220
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5892
Mailing Address - Country:US
Mailing Address - Phone:571-291-3244
Mailing Address - Fax:571-707-8732
Practice Address - Street 1:44081 PIPELINE PLZ STE 220
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5892
Practice Address - Country:US
Practice Address - Phone:571-291-3244
Practice Address - Fax:571-707-8732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty