Active NPI
Greater Washington Oral and Maxillofacial Surgery
- Oral & Maxillofacial Surgery (D.M.D.)
- Fredericksburg, VA
National Provider Identifier
1710552260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- Legal business name
- GREATER WASHINGTON ORAL AND MAXILLOFACIAL SURGERY
- Practice address
- 10009 Southpoint Pkwy Ste 201-a
Fredericksburg, VA 22407-2709 - Phone
- (540) 225-2259
- Fax
- (540) 225-2253
- NPI assigned
- May 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ibrahim Haron, DDS
- Title
- Owner/Dentist
- Phone
- (540) 225-2259
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | Primary |
Addresses
Primary practice location
10009 Southpoint Pkwy Ste 201-a
Fredericksburg, VA 22407-2709
Mailing address
10009 Southpoint Pkwy Ste 201-a
Fredericksburg, VA 22407-2709
Phone (540) 225-2259
National Provider Directory
National Provider DirectoryLocations
10009 Southpoint Pkwy
Ste 201A
Fredericksburg, VA 22407
Phone (402) 252-2595
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Fredericksburg, VA
- NPI 1871804781
-
- Oral and Maxillofacial Surgery (Dentist)
- Fredericksburg, VA
- NPI 1689902116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621987200000",
"number": "1710552260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10009 SOUTHPOINT PKWY STE 201-A",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224072709",
"telephone_number": "540-225-2259",
"fax_number": "540-225-2253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10009 SOUTHPOINT PKWY STE 201-A",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224072709",
"telephone_number": "540-225-2259",
"fax_number": "540-225-2253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER WASHINGTON ORAL AND MAXILLOFACIAL SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-26",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A",
"authorized_official_last_name": "HARON",
"authorized_official_first_name": "IBRAHIM",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "540-225-2259",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Oral & Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.