Leesburg Dental and Orthodontics, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LEESBURG DENTAL AND ORTHODONTICS, PLLC

Practice address

135 Robinson Mill PLZ SE Ste 108
Leesburg, VA 20175-4797

Phone

(703) 347-1282

NPI assigned

Jan 24, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Zack Hicham Mekouar, DDSNPI 1902092075

Title

President

Phone

(703) 347-1282

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Zack Hicham Mekouar, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodbridge, VA
  • NPI 1902092075
  NPD Authorized official

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1437865342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9616 GEORGETOWN PIKE",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662638",
            "telephone_number": "703-347-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 ROBINSON MILL PLZ SE STE 108",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754797",
            "telephone_number": "703-347-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESBURG DENTAL AND ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "MEKOUAR",
        "authorized_official_first_name": "ZACK",
        "authorized_official_middle_name": "HICHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-347-1282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Sae Lee, DDS
• Sarah Lee, DDS
• Seokhoon Lee, DDS
• Leesburg Chiropractic and Massage, P.L.L.C.
• Leesburg Community Church
• Leesburg Dental Center PLLC
• Leesburg Dental Group PLLC
• Leesburg Dental Office PLLC
• Leesburg Dental P C
• Leesburg Family Eyecare

• General Practice Dentistry in Leesburg, VA
• Providers in Leesburg, 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 Jan 24, 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.