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M & M DENTAL CARE P.C. NPI 1366822827


NPI Information

NPI: 1366822827
Provider Name: M & M DENTAL CARE P.C.

Doing Business As: AESTHETIC DENTISTRY OF FAIRFAX

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4103 CHAIN BRIDGE RD
SUITE LL100
FAIRFAX, VA
ZIP 22030
Phone: (703) 218-8142
Get Directions

M & M DENTAL CARE P.C. is a general practice dentist in Fairfax, VA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. M & M DENTAL CARE P.C. NPI is 1366822827. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Aesthetic Dentistry Of Fairfax.

The provider's business location address is:

4103 CHAIN BRIDGE RD
SUITE LL100
FAIRFAX, VA
ZIP 22030-107
Phone: (703) 218-8142
Fax: (703) 218-8143

The provider's authorized official is Mostafa Aboulkhair .
The authorized official title is President/owner and has the following contact phone number (703) 218-8142.

The enumeration date for this NPI number is 5/31/2015 and was last updated on 10/18/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice0401411899VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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