M & M Dental Care P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401411899 Issued in VA

Legal business name

M & M DENTAL CARE P.C.

Practice address

4103 Chain Bridge Rd
Suite Ll100
Fairfax, VA 22030-4107

Phone

(703) 218-8142

Fax

(703) 218-8143

NPI assigned

May 31, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mostafa Aboulkhair, D.M.DNPI 1346424140

Title

President/Owner

Phone

(703) 218-8142

Specialties & licenses 1

Addresses

Other names 1

• Aesthetic Dentistry of Fairfax Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mostafa Aboulkhair, D.M.D

  • Dentist
  • Fairfax, VA
  • NPI 1346424140
  NPD (past) Authorized official
• Vandana Sethi, DDS

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1255852083
  NPD (past)

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

{
    "created_epoch": "1433030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1366822827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 CHAIN BRIDGE RD",
            "address_2": "SUITE LL100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304107",
            "telephone_number": "703-218-8142",
            "fax_number": "703-218-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 CHAIN BRIDGE RD",
            "address_2": "SUITE LL100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304107",
            "telephone_number": "703-218-8142",
            "fax_number": "703-218-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M DENTAL CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-31",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "ABOULKHAIR",
        "authorized_official_first_name": "MOSTAFA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "703-218-8142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Dentistry of Fairfax",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayleen Elizabeth Lynch, PA-C
• Laura Lynch
• Marybeth Ann Lynch, CCC-SLP
• Lisa D. Lyons, LPC
• Leyla Farah Lytle, M.S.,P.T.
• M Management Group LLC
• M Management Group, LLC
• M Management Group, LLC
• M Medical Group, Inc.
• M Medical Group, Inc.

• General Practice Dentistry in Fairfax, VA
• Providers in Fairfax, 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 Oct 18, 2016; 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.