DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MEDHAT R. ABU-GHANNAM, DDS

Active

General Dentistry · BURKE, VA

Registration Details

NPI Number
1720109200
Provider Type
Individual
Gender
Male
NPI Issued
Apr 3, 2007 (19.049584878237 yrs)
Last Updated
Jul 8, 2007
License
0401410846 (VA)

Practice Information

Address
9239 OLD KEENE MILL RD
BURKE, VA, 220154202
Browse VA providers · Browse ZIP 22015
Phone
7034557770
Fax
7039972530
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in BURKE, VA

Name Credential NPI
DR. LYNN WILLIAM SHULER D.D.S. 1952346900
DR. STEPHEN THOMAS LANIER DDS 1205852126
DR. RICHARD CARL BRIGLEB DDS 1134221500
DR. APRIL TON D.D.S. 1831282367
DR. QUAN NGUYEN D.D.S 1396838819
DR. MIA PHAM SANCHEZ DE LOZADA D.D.S. 1053408526
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.