Sanctuary Oral Maxillofacial Surgery
NPI 1780566299ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Mc Lean, VA
Dentist, Oral and Maxillofacial Surgery in Mc Lean, Virginia, registered in NPPES in July 2025. The authorized official on file is Abdul Khattab, Director.
Overview
| NPI | 1780566299 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2025 |
| Last updated in NPPES | Jul 24, 2025 |
| Certified by provider | Jul 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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