Merah Aljundi

Individual provider Active NPI General Practice Dentistry · MC Lean, VA

NPI 1043774169 · NPPES record last updated Apr 21, 2024

Key facts

NPI
1043774169
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
0401416367 (VA)
Practice address
1327 Merrie Ridge Rd
MC Lean, VA 22101-1826
Phone
(917) 499-8878
NPI assigned
Jan 23, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0401416367VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Merah Al Jundi PLLC General Practice Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401416367 VA Yes

Addresses

Primary practice location

1327 Merrie Ridge Rd
MC Lean, VA 22101-1826

Mailing address

1327 Merrie Ridge Rd
MC Lean, VA 22101-1826
Phone (917) 744-4347

Other providers in MC Lean, VA

All providers in MC Lean, VA · General Practice Dentistry in Virginia

Sources for this page

Verify at the official NPI Registry.