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ELGHANNAM DENTAL LLC
NPI 1164234910
Dentist - General Practice in Woodbridge, VA

Active since January 20, 2025
4421 DALE BLVD STE 202, WOODBRIDGE, VA 22193(615) 499-0438 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Elghannam Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELGHANNAM DENTAL LLC (NPI 1164234910), doing business as Woodbridge Famliy And Implant Dentistry, is a healthcare organization registered as a general practice in Woodbridge, Virginia and active in the NPI registry since January 2025. The organization lists Mohamed M Elghannam, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164234910
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameELGHANNAM DENTAL LLC
Location Address4421 DALE BLVD STE 202Woodbridge, VA 22193-2550
Mailing Address4421 Dale Blvd Ste 202Woodbridge, VA 22193-2550
Phone(615) 499-0438
Organization SubpartNo
Authorized OfficialMohamed M ElghannamCeo · (615) 499-0438
Enumeration DateJanuary 20, 2025
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1164234910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
4421 DALE BLVD STE 202, Woodbridge, VA 22193
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Other Names 1

Doing Business AsWoodbridge Famliy And Implant Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHERYL A LOBO DDS
Dentist (General Practice)
4421 DALE BLVD STE 202
WOODBRIDGE, VA 22193
Prince William County (703) 680-2070
DR. MARIHAM MEKHAIL DDS
Dentist
4421 DALE BLVD STE 202
WOODBRIDGE, VA 22193
Prince William County (703) 680-2070
WOODBRIDGE FAMILY & COSMETIC DENTISTRY PLLC
Clinic/Center (Dental)
4421 DALE BLVD STE 202
WOODBRIDGE, VA 22193
Prince William County (703) 680-2070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elghannam Dental LLC's NPI number?

The NPI number for Elghannam Dental LLC is 1164234910. It was assigned to this organization in the NPPES registry on January 20, 2025. The provider is doing business as WOODBRIDGE FAMLIY AND IMPLANT Dentistry.

Where is Elghannam Dental LLC located?

Elghannam Dental LLC is located at 4421 Dale Blvd Ste 202, Woodbridge, VA 22193. The listed phone number is (615) 499-0438.

What is Elghannam Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Elghannam Dental LLC was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.