Organization Active NPI

Greater Washington Oral and Maxillofacial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Fredericksburg, VA
National Provider Identifier
1710552260
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
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

Updated by the provider on May 26, 2021

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

Authorized official

Name
Dr. Ibrahim Haron, DDSNPI 1871804781
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)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.