Mostafa Salah El Din Tolba, DDS, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0401412357 Issued in VA

Practice address

556 Garrisonville Rd Ste 200
Stafford, VA 22554-7826

Phone

(540) 602-7889

Fax

(540) 584-8336

NPI assigned

Dec 30, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1104062835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 GARRISONVILLE RD STE 200",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547826",
            "telephone_number": "540-602-7889",
            "fax_number": "540-584-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 GARRISONVILLE RD STE 200",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547826",
            "telephone_number": "540-602-7889",
            "fax_number": "540-584-8336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10703 Spotsylvania Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224082692",
            "country_code": "US",
            "telephone_number": "540-602-7889",
            "fax_number": "540-584-8336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLBA",
        "first_name": "MOSTAFA",
        "middle_name": "SALAH EL DIN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-30",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401412357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Stafford, VA
• Providers in Stafford, VA by specialty
• Endodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.