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DR. MEDHAT R. ABU-GHANNAM DDS
NPI 1720109200
Dentist - General Practice in Burke, VA

Active since April 03, 2007
9239 OLD KEENE MILL RD, BURKE, VA 22015(703) 455-7770(703) 997-2530 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Medhat R. Abu-ghannam Dds NPPES

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

DR. MEDHAT R. ABU-GHANNAM DDS (NPI 1720109200) is an individual general practice provider in Burke, Virginia, licensed in Virginia (0401410846) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1720109200
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MEDHAT R. ABU-GHANNAMCredential: DDS
Location Address9239 OLD KEENE MILL RDBurke, VA 22015-4202
Mailing Address2520 Terra Cotta CirHerndon, VA 20171 · (703) 956-6015
Phone(703) 455-7770
Fax(703) 997-2530
Sole ProprietorNo
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720109200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401410846
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.
9239 OLD KEENE MILL RD, Burke, VA 22015
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Other Names 1

Professional Name (2)Medhat R. Ghannam Dds

Other Providers at the Same Location NPPES 2

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

DR. BERNARD W LYNCH DMD
Dentist (General Practice)
9239 OLD KEENE MILL RD
BURKE, VA 22015
Fairfax County (703) 455-7770
DR. LINA JAMEEL DDS
Dentist (General Practice)
9239 OLD KEENE MILL RD
BURKE, VA 22015
Fairfax County (703) 609-8156

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 Medhat Abu-ghannam's NPI number?

The NPI number for Medhat Abu-ghannam is 1720109200. It was assigned to this individual provider in the NPPES registry on April 3, 2007. The provider is also known as Medhat R. Ghannam Dds.

Where is Medhat Abu-ghannam located?

Medhat Abu-ghannam practices at 9239 Old Keene Mill Rd, Burke, VA 22015. The listed phone number is (703) 455-7770.

What is Medhat Abu-ghannam'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 Medhat Abu-ghannam was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.