Elghannam Dental LLC
NPI 1164234910ActiveOrganization· Dentist, General Practice· Woodbridge, VA
Dentist, General Practice in Woodbridge, Virginia, registered in NPPES in January 2025. The authorized official on file is Mohamed M. Elghannam, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164234910 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 20, 2025 |
| Last updated in NPPES | Jan 22, 2025 |
| Certified by provider | Jan 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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