Khattab Uthman Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401413570 Issued in VA

Legal business name

KHATTAB UTHMAN DENTAL ASSOCIATES

Practice address

14338 Gideon Dr,
Woodbridge, VA 22192-4640

Phone

(703) 372-5665

NPI assigned

Jun 27, 2016

Organization subpart

No

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

Authorized official

Name

Samer Khattab

Title

Consultant

Phone

(703) 348-8070

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1114378544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6723 DOROTHY GILES CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223156050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14338 GIDEON DR,",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924640",
            "telephone_number": "703-372-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHATTAB UTHMAN DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "KHATTAB",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "703-348-8070"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414531",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahbaz Khan
• Sofia Yunas Khan, FNP
• Faranak Khasraghi, D.D.S., D.M.D
• Imran Ahmed Khatri, MD
• Rachna Khatri
• Inamullah Khoshal
• Tara Aziz Khoshnaw, MD
• Hamed Khosravi, M.D.
• Crissy Kibic
• Kidz Dental, P.C.

• General Practice Dentistry in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.