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SANCTUARY ORAL MAXILLOFACIAL SURGERY
NPI 1780566299
Dentist - Oral and Maxillofacial Surgery in Mc Lean, VA

Active since July 24, 2025
1650 TYSONS BLVD STE 100, MC LEAN, VA 22102(703) 893-3937(215) 243-7546 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sanctuary Oral Maxillofacial Surgery NPPES

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

SANCTUARY ORAL MAXILLOFACIAL SURGERY (NPI 1780566299) is a healthcare organization registered as an oral and maxillofacial surgery in Mc Lean, Virginia and active in the NPI registry since July 2025. The organization lists Abdul Khattab, Director, as its authorized official.

NPPES Registry Identity

NPI1780566299
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSANCTUARY ORAL MAXILLOFACIAL SURGERY
Location Address1650 TYSONS BLVD STE 100Mc Lean, VA 22102-4880
Mailing Address1650 Tysons Blvd Ste 100Mc Lean, VA 22102-4880 · (703) 893-3937 · Fax (215) 243-7546
Phone(703) 893-3937
Fax(215) 243-7546
Organization SubpartNo
Authorized OfficialAbdul KhattabDirector · (703) 893-3937
Enumeration DateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1780566299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1650 TYSONS BLVD STE 100, Mc Lean, VA 22102
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Sanctuary Oral Maxillofacial Surgery's NPI number?

The NPI number for Sanctuary Oral Maxillofacial Surgery is 1780566299. It was assigned to this organization in the NPPES registry on July 24, 2025.

Where is Sanctuary Oral Maxillofacial Surgery located?

Sanctuary Oral Maxillofacial Surgery is located at 1650 Tysons Blvd Ste 100, Mc Lean, VA 22102. The listed phone number is (703) 893-3937.

What is Sanctuary Oral Maxillofacial Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Sanctuary Oral Maxillofacial Surgery was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.