Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prestige Dental Specialists

Organization Dentist · NPI 1073990594

Prestige Dental Specialists is a Dentist in Annandale, Virginia. Licensed in Virginia. Registered with an NPI since 2015.

Licensed in
VA
In the registry since
2015

Practice location Address checks out

7630 Little River Tpke 115
Annandale, VA 22003-2610
Phone: (703) 256-2556
Fax: (703) 256-7722
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0401412751 (VA)

Record details

NPI number1073990594
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Norachai Phisuthikul — Owner · (703) 256-2556
Other names Center For Dentofacial Aesthetics
NPI enumeratedMay 5, 2015
Last updated in NPPESMay 5, 2015
Mailing address7630 Little River Tpke, 115, Annandale, VA 22003-2610

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