Lortontown Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LORTONTOWN DENTAL

Practice address

9010 Lorton Station Blvd Ste 135
Lorton, VA 22079-4794

Phone

(703) 372-5665

Fax

(703) 372-5684

NPI assigned

Jun 11, 2020

Last updated

Jun 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samer Khattab, DDSNPI 1013270594

Title

Ceo

Phone

(703) 372-5665

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samer K Khattab, DDS

  • Dentist
  • Lorton, VA
  • NPI 1013270594
  NPD Authorized official

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1669097044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 LORTON STATION BLVD STE 135",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794794",
            "telephone_number": "703-372-5665",
            "fax_number": "703-372-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 LORTON STATION BLVD STE 135",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794794",
            "telephone_number": "703-372-5665",
            "fax_number": "703-372-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORTONTOWN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "KHATTAB",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-372-5665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorton Optometry, LLC (My Eye Dr)
• Lorton Orthodontics PLLC (Elite Orthodontics)
• Lorton Pediatric Dentistry and Orthodontics, PLLC (Smileworld)
• Lorton Primary Care PLC
• Lorton Urgent Care, PLC
• Loudoun Medical Group, PC (Digestive Disease Physicians)
• Loudoun Medical Group, PC (Loudoun Medical Group, PC DOL)
• Loudoun Medical Group, PC (Virginia Heartburn and Hernia Institute)
• Lovewatch TLC
• Katy June Lyon, DPT

• Dental Clinic/Center in Lorton, VA
• Providers in Lorton, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.