Hani A Mahgoub, D.D.S., M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2015-00815 Issued in NC

Practice address

2407 Plantation Center Dr Ste 102
Matthews, NC 28105-6614

Phone

(704) 408-8800

NPI assigned

Apr 15, 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

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1366616880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 PLANTATION CENTER DR STE 102",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056614",
            "telephone_number": "704-246-6557",
            "fax_number": "888-972-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 PLANTATION CENTER DR STE 102",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056614",
            "telephone_number": "704-408-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHGOUB",
        "first_name": "HANI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "2015-00815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Mack
• Erin Elizabeth Mack, NP
• Page P Mack, PT
• Brandy Maclean, PA-C
• Preeti Mahajan, PHYSICAL THERAPIST
• Mena Allah Mohamed Mahmoud Hassan Orabi, PT
• Sheila Buck Maitland, LPC
• Brianne Majdanik
• Tyler Major
• Lyudmila Makovetskiy

• Oral and Maxillofacial Surgery (Dentist) in Matthews, NC
• Providers in Matthews, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.