OrganizationActive
Tjb of Dulles, LLC
NPI 1457720302 · Dental Clinic/Center · Dulles, VA
Provider details
- NPI number
- 1457720302
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kerri Nichols, Regional Director(540) 494-8776
- License
- 0401410720 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24565 Dulles Landing Dr
Suite 190
Dulles, VA 20166-2612
Phone: (703) 468-0188
Fax: (703) 754-1694
Street-level locationGet directions
Mailing address
24565 Dulles Landing Dr
Dulles, VA 20166-2612
Other names (DBA / former)
- Doing business as
- Loudoun Dental Associates & Smilez Pediatric Dental Group
Registry dates
- Enumerated
- 2015-09-22
- Last updated
- 2015-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.