Legacy Smiles Group Dba MC Orthodontics PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

LEGACY SMILES GROUP DBA MC ORTHODONTICS PLLC

Practice address

13880 Braddock Rd Ste 101
Centreville, VA 20121-2460

Phone

(703) 815-6455

Fax

(703) 815-6454

NPI assigned

Sep 9, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Moataz Elmahdy, DDS

Title

Orthodontist

Phone

(703) 815-6455

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1174433544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD STE 101",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212460",
            "telephone_number": "703-815-6455",
            "fax_number": "703-815-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD STE 101",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212460",
            "telephone_number": "703-815-6455",
            "fax_number": "703-815-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY SMILES GROUP DBA MC ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "ELMAHDY",
        "authorized_official_first_name": "MOATAZ",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "703-815-6455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Jinyoung Lee, MS
• Michelle Lee, PHARMD
• Monica Lee
• So Jung Lee, D.M.D.
• Sora Lee, L.AC
• Leisure Homecare LLC
• Frederick F Lennon, M.D.
• Let'S Smile of Centreville, PLLC
• Alan R Levinstone, M.D.
• Rebecca L. Levy, MED, CCC-A

• Orthodontics and Dentofacial Orthopedics Dentistry in Centreville, VA
• Providers in Centreville, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.